Rebecca Ann Haas, MCD, CCC- SLP

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

NPI 1366943649 · NPPES record last updated Feb 22, 2018

Key facts

NPI
1366943649
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
P9217 (AR)
Practice address
314 Longhorn Dr
Viola, AR 72583-9129
Phone
(870) 458-2511
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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)
Yes

State licenses

LicenseStateTypeSpecialty
P9217ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Superintendent of Viola Consolidated School Speech-Language Pathologist Past Accepting new patients
Heritage Therapy, L.L.C. Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X P9217 AR Yes

Addresses

Primary practice location

314 Longhorn Dr
Viola, AR 72583-9129

Mailing address

60 Traw Lane
Mammoth Spring, AR 72554

Other providers in Viola, AR

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

Sources for this page

Verify at the official NPI Registry.