Dana Morgan

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

NPI 1497901136 · NPPES record last updated Jun 8, 2011

Key facts

NPI
1497901136
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP#25988 (AR)
Practice address
17706 I-30 Ste 3
Benton, AR 72019-2930
Phone
(501) 315-4414
NPI assigned
Aug 13, 2008
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

LicenseStateTypeSpecialty
SP#25988ARMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP#25988 AR Yes

Addresses

Primary practice location

17706 I-30 Ste 3
Benton, AR 72019-2930

Mailing address

17706 I-30 Ste 3
Benton, AR 72019-2930

Other providers in Benton, AR

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

Sources for this page

Verify at the official NPI Registry.