Thomas Michael Abbott, M.S.P., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Charleston, AR
NPI 1811286545 · NPPES record last updated Apr 4, 2011
Key facts
- NPI
- 1811286545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 309 (AR)
- Practice address
- 11 Dale Bumpers Drive
Charleston, AR 72933-0011 - Phone
- (479) 965-2460
- NPI assigned
- Apr 4, 2011
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 309 | AR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 309 | AR | Yes |
Addresses
Primary practice location
11 Dale Bumpers Drive
Charleston, AR 72933-0011
Mailing address
PO Box 188
Charleston, AR 72933-0188
Phone (479) 965-2460
Other providers in Charleston, AR
- Tania Kay Barham
- Amber Brasher
- Joann Michele Cain
- City of Charleston Supt of Schools District 9
- Cooper Clinic PA
All providers in Charleston, 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 Apr 4, 2011. 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.