Mary Whitmore, SPEECH THERAPIST
Individual provider Active NPI Speech-Language Pathologist · De Witt, AR
NPI 1649696154 · NPPES record last updated Mar 7, 2014
Key facts
- NPI
- 1649696154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 1841 S Grandview Dr
Dewitt
De Witt, AR 72042-3450 - Phone
- (870) 946-3576
- NPI assigned
- Mar 7, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | AR | Yes |
Addresses
Primary practice location
1841 S Grandview Dr
Dewitt
De Witt, AR 72042-3450
Mailing address
PO Box 700
Dewitt
De Witt, AR 72042-0700
Phone (870) 946-3576
Other providers in De Witt, AR
- Karen Watts
- West Haven Village, LLC
- West Point LLC
- Debra Charlene West
- Kristi Leigh Whitmore
- Lori Ann Wilson
- Wingfield Physical Therapy, LLC
- Jennifer Kate Wingfield
All providers in De Witt, 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 Mar 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.