Connie Runyan
Individual provider Active NPI Speech-Language Pathologist · Bismarck, AR
NPI 1063672996 · NPPES record last updated Jun 13, 2008
Key facts
- NPI
- 1063672996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 11636 Highway 84
Bismarck, AR 71929-7473 - Phone
- (501) 865-4506
- Fax
- (501) 865-4545
- NPI assigned
- Jun 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | AR | Yes |
Addresses
Primary practice location
11636 Highway 84
Bismarck, AR 71929-7473
Mailing address
11636 Highway 84
Bismarck, AR 71929-7473
Phone (501) 865-4506
Other providers in Bismarck, AR
- Carolyn McClure
- Andrea McDaniel
- Mindy D. Menotti
- Heather Roberts
- Ruby Wade LCSW LLC
- Phillip Runyan
- Saundra Leanne Schultz
- Nancy Shaw
- Shine Therapy Inc.
- Nicole Leanne Smart
All providers in Bismarck, AR · Speech-Language Pathologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.