Brianna Soto, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Wickes, AR
NPI 1972054302 · NPPES record last updated May 13, 2025
Key facts
- NPI
- 1972054302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP#P9075 (AR)
- Practice address
- 130 School Dr
Wickes, AR 71973-9312 - Phone
- (870) 557-0848
- NPI assigned
- Oct 20, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP#P9075 | AR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#P9075 | AR | Yes |
Addresses
Primary practice location
130 School Dr
Wickes, AR 71973-9312
Mailing address
3450 Cascade Creek Rd
Eagletown, OK 74734-3408
Other providers in Wickes, AR
- Rachel Dawn Copeland
- Cossatot Polk County Senior Citizens, Inc.
- Cossatot River Public Schools
- Patricia Carol Hill
- Meagan Lyle
- Wickes School District
All providers in Wickes, 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 13, 2025. 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.