Amy White Adult Speech Therapy Services PLLC
Organization Active NPI Speech-Language Pathologist · Rogers, AR
NPI 1336079771 · NPPES record last updated May 19, 2026
Key facts
- NPI
- 1336079771
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- AMY WHITE ADULT SPEECH THERAPY SERVICES PLLC
- Practice address
- 409 W Poplar St Unit 206
Rogers, AR 72756-4560 - Phone
- (479) 363-1788
- NPI assigned
- May 19, 2026
- Organization subpart
- No
Authorized official
- Name
- Amy White, CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (479) 379-2827
Practitioners 1
-
Amy Lickenbrock White, MHS, CCC-SLP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260610000515 | AR | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5799256723 |
Receives reassigned benefits from 1 practitioner Practice locations: Rogers, AR |
National Provider Directory
Locations
409 W Poplar St
Unit 206
Rogers, AR 72756
Phone (479) 363-1788
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
409 W Poplar St Unit 206
Rogers, AR 72756-4560
Mailing address
1412 Park St
Lowell, AR 72745-6028
Phone (479) 379-2827
Other providers in Rogers, AR
- Alliance Counseling & Therapy LLC
- Jeffrey Alliston
- Madeline Allsup
- Alternative Opportunities
- Patrick Ameling
- Collin Anderson
- Jarrod Anderson
- Kimberley Jo Anderson
- Mary Catherine Esguerra Anderson
- Victoria Marie Anderson
All providers in Rogers, 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 May 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.