Robin Diana Baltz, MCD,CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Walnut Ridge, AR

NPI 1740436765 · NPPES record last updated Oct 9, 2023

Key facts

NPI
1740436765
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP#1745 (AR)
Practice address
508 E Free St
Walnut Ridge, AR 72476-2804
Phone
(870) 886-3482
NPI assigned
Aug 10, 2008
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

State licenses

LicenseStateTypeSpecialty
SP#1745ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidspot Learning Center Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP#1745 AR Yes

Addresses

Primary practice location

508 E Free St
Walnut Ridge, AR 72476-2804

Mailing address

508 W Elm St
Walnut Ridge, AR 72476-1839
Phone (870) 886-7873

Other providers in Walnut Ridge, AR

All providers in Walnut Ridge, AR · Speech-Language Pathologist in Arkansas

Sources for this page

Verify at the official NPI Registry.