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Contact Information

CREATIVE LEARNING THERAPY
2025 SLOAN LAKE DR
JONESBORO, AR72404-6894
 Phone: 870-926-3035
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Developmental Disabilities

261QD1600X
 

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for CREATIVE LEARNING THERAPY · (Female)

NPI Number 1184948093
Status Active
Credentials
Entity Individual
Enumeration date 03/22/2010
Last updated 04/13/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # SP#2522
  • AR Medicaid 132780786
  • AR Medicaid 181273742
  • AR Other SR165 BCBS INSURANCE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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