Eliza Adcock
Individual provider Active NPI Speech-Language Pathologist · Conway, AR
NPI 1265041545 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1265041545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 14308005
- Practice address
- 814 Watkins St
Conway, AR 72034-5152 - Phone
- (601) 896-8354
- NPI assigned
- Jul 23, 2020
- 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 | 14308005 | Yes |
Addresses
Primary practice location
814 Watkins St
Conway, AR 72034-5152
Mailing address
814 Watkins St
Conway, AR 72034-5152
Phone (601) 896-8354
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | archford.org |
Other providers in Conway, AR
- Erick Acuchi
- Christina L Adams
- Harley Tyrene Adams
- Trent Elliott Adams
- Adaptable Kids Therapy
- Jalisa Adell
- Jessica Renee Adelman
- Natasha Dawn Adkins
- Luke Wayne Adlong
- Advanced Home IV Services
All providers in Conway, 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 Nov 27, 2023. 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.