Organization
HOME CENTERED SPEECH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY J EARLS (SLP)
(501) 733-8314
Entity
Organization
Contact information
Practice address
301 ELBERTA STREET, LAMAR, AR 72846-8100
(501) 733-8314
Mailing address
107 HIGHWAY 300, PERRYVILLE, AR 72126-8213
(501) 733-8314
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
787
AR
252Y00000X
Early Intervention Provider Agency
787
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01089837
ASHA
—
05
—
122644721
—
AR
01
—
787
ARKSHA
AR
Enumeration date
09/04/2008
Last updated
10/06/2011
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