Christy Nicole Austin, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Paragould, AR

NPI 1902920366 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1902920366
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP#1253 (AR)
Practice address
6012 Greene Road 707
Paragould, AR 72450-7826
Phone
(870) 236-4783
Fax
(870) 236-4783
NPI assigned
Mar 19, 2007
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP#1253ARMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP#1253 AR Yes

Addresses

Primary practice location

6012 Greene Road 707
Paragould, AR 72450-7826

Mailing address

5139 Greene Road 707
Paragould, AR 72450-9425
Phone (870) 236-2554

Other providers in Paragould, AR

All providers in Paragould, AR · Speech-Language Pathologist in Arkansas

Sources for this page

Verify at the official NPI Registry.