Mary Lu Fowler

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#P8337 Issued in AR

Practice address

2520 W Main St
Jacksonville, AR 72076-4214

Phone

(501) 982-0528

Fax

(501) 533-6327

NPI assigned

Jul 12, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mary Lu Robinson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1487942397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 W MAIN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764214",
            "telephone_number": "501-982-0528",
            "fax_number": "501-533-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 W MAIN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764214",
            "telephone_number": "501-982-0528",
            "fax_number": "501-533-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "MARY",
        "middle_name": "LU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#P8337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ROBINSON",
            "middle_name": "LU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Pruitt Ford, PTA
• Torshia Ladell Forte
• Sharon Delee Fortson, MS, LPE-I
• Richard Foster, O.D.
• Elizabeth Ann Fowler, LPC
• Marandy Renee Franklin, LPN
• Angelyn Franks, M.S. CCC-SLP
• Destiny Yvonne Frazier
• Freedom Behavioral Hospital of Central Arkansas LLC
• Ryan Barrett Friedman, M.D.

• Speech-Language Pathologist in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.