Andrea J. Sieczkowski, AU.D.

Individual provider Active NPI Audiologist · N Little Rock, AR

NPI 1891805008 · NPPES record last updated Jul 15, 2015

Key facts

NPI
1891805008
Entity type
Individual (NPI type 1)
Primary specialty
Audiologist 231H00000X
License
A#244 (AR)
Practice address
2200 Fort Roots Dr # 126
N Little Rock, AR 72114-1709
Phone
(501) 257-1409
NPI assigned
Aug 30, 2006
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

LicenseStateTypeSpecialty
A#244ARMDAudiologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A#244 AR Yes

Addresses

Primary practice location

2200 Fort Roots Dr # 126
N Little Rock, AR 72114-1709

Mailing address

246 Summit Valley Cir
Maumelle, AR 72113-5933
Phone (501) 766-8785

Other providers in N Little Rock, AR

All providers in N Little Rock, AR · Audiologist in Arkansas

Sources for this page

Verify at the official NPI Registry.