Rachel Ruth Hinson, MS, CCC-SLP

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

NPI 1619649902 · NPPES record last updated Apr 26, 2024

Key facts

NPI
1619649902
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
02364L (MD)
Practice address
210 S Coker Rd
Vilonia, AR 72173-9455
Phone
(501) 499-3931
NPI assigned
Oct 4, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
02364LMDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kid Success, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 02364L MD Yes

Addresses

Primary practice location

210 S Coker Rd
Vilonia, AR 72173-9455

Mailing address

210 S Coker Rd
Vilonia, AR 72173-9455

Other practice location 1

6901 N Charles St
Towson, MD 21204-3780
Phone (443) 809-4554

Other identifiers

IdentifierTypeStateIssuer
14343730OtherASHA

Other providers in Vilonia, AR

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

Sources for this page

Verify at the official NPI Registry.