Cecelia Corley, SLP
Individual provider Active NPI Speech-Language Pathologist · Poyen, AR
NPI 1255467643 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255467643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 350 (AR)
- Practice address
- 111 N. School St.
Poyen, AR 72128 - Phone
- (501) 332-2939
- Fax
- (501) 332-7800
- NPI assigned
- Feb 27, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350 | AR | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 350 | AR | Yes |
Addresses
Primary practice location
111 N. School St.
Poyen, AR 72128
Mailing address
1114 Cooper Rd
Malvern, AR 72104-8604
Phone (501) 337-0577
Other providers in Poyen, AR
- Healthstar Physicians of Hot Springs, PLLC
- Logan McDaniels
- Poyen Public Schools
- Poyen School District No 1
All providers in Poyen, 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 Jul 8, 2007. 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.