- Speech-Language Pathologist in Dermott, AR

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is a Speech-language Pathologist based in Dermott, Arkansas. is licensed to practice in Arkansas (license number LEA0901) and their current practice location is 525 East Speedway, Dermott, Arkansas. It can be reached at their office (for appointments etc.) via phone at (870) 538-1000.

NPI number for is 1861555005 and their current mailing address is 1022 Scogin Drive, Monticello, Arkansas. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1861555005.

Contact Information

525 East Speedway,
Dermott, AR 71638
(870) 538-1000
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialitySpeech-language Pathologist
Location525 East Speedway, Dermott, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861555005
  • Provider Enumeration Date: 12/19/2006
  • Last Update Date: 07/17/2008

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861555005NPI-NPPES
116599743MedicaidAR
116399743MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist LEA0901 (Arkansas)Primary
251300000XLocal Education Agency (lea) 0901 (Arkansas)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1022 Scogin Drive,
Monticello, AR 71655

Ph: (870) 367-6848
525 East Speedway,
Dermott, AR 71638

Ph: (870) 538-1000

Reviews and Comments


Speech-Language Pathologist in Dermott, AR


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