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Contact Information

PAMELA K PETRAY, MA CCCSLP
91 NEAL ST
HOPE FOR TOMORROW
FARMINGTON, AR72730
 Phone: 479-267-4673
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for PAMELA K PETRAY · (Female)

NPI Number 1497768139
Status Active
Credentials MA CCCSLP
Entity Individual
Enumeration date 08/14/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AR License # SP1442
  • AR Other 5X943 BCBS
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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