Elizabeth Ann White

Individual provider Active NPI Speech-Language Pathologist · Plumerville, AR

NPI 1194023945 · NPPES record last updated Mar 3, 2011

Key facts

NPI
1194023945
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP#1879 (AR)
Practice address
101 Bulldog Dr
Plumerville, AR 72127-8803
Phone
(501) 354-2269
NPI assigned
Mar 3, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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#1879ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arch Ford Education Cooperative Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP#1879 AR Yes

Addresses

Primary practice location

101 Bulldog Dr
Plumerville, AR 72127-8803

Mailing address

6 Dennis Dr
Vilonia, AR 72173-9709
Phone (501) 796-8671

Other providers in Plumerville, AR

All providers in Plumerville, AR · Speech-Language Pathologist in Arkansas

Sources for this page

Verify at the official NPI Registry.