Mary Elizabeth Vowell, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Pearcy, AR
NPI 1902243272 · NPPES record last updated May 28, 2013
Key facts
- NPI
- 1902243272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP#3278 (AR)
- Practice address
- 205 Wolf St
Pearcy, AR 71964-9449 - Phone
- (501) 760-7759
- Fax
- (501) 760-7759
- NPI assigned
- May 28, 2013
- Sex
- Female
- 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 |
|---|---|---|---|
| SP#3278 | AR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#3278 | AR | Yes |
Addresses
Primary practice location
205 Wolf St
Pearcy, AR 71964-9449
Mailing address
205 Wolf St
Pearcy, AR 71964-9449
Phone (501) 760-7759
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196801721 | Medicaid | AR |
Other providers in Pearcy, AR
- Angy Rose
- Kristin Elizabeth Shults
- Stan Ware, DDS PA
- Ronda Swayze
- Carissa Marie Trantina
- Rachael Warren
- Alexandria Marie Weatherford
- Annette Gail Webb
- Bailey Wheeler
All providers in Pearcy, 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 May 28, 2013. 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.