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Contact Information

DERMOTT HIGH SCHOOL
525 EAST SPEEDWAY
DERMOTT, AR71638
 Phone: 870-538-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Local Education Agency (LEA)

251300000X
Indicates primary specialty

NPI Profile & details for DERMOTT HIGH SCHOOL · (Female)

NPI Number 1861555005
Status Active
Credentials
Entity Individual
Enumeration date 12/19/2006
Last updated 07/17/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # 0901
  • AR License # LEA0901
  • AR Medicaid 116399743
  • AR Medicaid 116599743
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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