Desire Nicole Osborne
Individual provider Active NPI Speech-Language Pathologist · Branch, AR
NPI 1730919051 · NPPES record last updated Aug 2, 2024
Key facts
- NPI
- 1730919051
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 202605 (AR)
- Practice address
- 3010 Highway 22 E
Branch, AR 72928-9648 - Phone
- (479) 965-2191
- NPI assigned
- Aug 2, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202605 | AR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 202605 | AR | Yes |
Addresses
Primary practice location
3010 Highway 22 E
Branch, AR 72928-9648
Mailing address
771 N School St Apt a
Charleston, AR 72933-9461
Phone (479) 849-0121
Other providers in Branch, AR
- Angela Renee Coleman
- County Line School District
- Guy Fenter Education Service Cooperative
- Rebekah Anne Lyle
- Abigail Kathryn McGuire
- Katherine Elizabeth Reames
- Frances Savage
- Olivia Schluterman
All providers in Branch, 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 Aug 2, 2024. 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.