Mary Droho

Individual provider Active NPI Speech-Language Pathologist · Siloam Springs, AR

NPI 1043466972 · NPPES record last updated Aug 12, 2008

Key facts

NPI
1043466972
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP#527 (AR)
Practice address
1900 N Mount Olive St
Allen Elementary
Siloam Springs, AR 72761-8953
Phone
(479) 524-0358
Fax
(479) 524-0385
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SP#527ARMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP#527 AR Yes

Addresses

Primary practice location

1900 N Mount Olive St
Allen Elementary
Siloam Springs, AR 72761-8953

Mailing address

12158 Clyde Edwards Rd
Gentry, AR 72734-9138
Phone (479) 524-0358

Other providers in Siloam Springs, AR

All providers in Siloam Springs, AR · Speech-Language Pathologist in Arkansas

Sources for this page

Verify at the official NPI Registry.