Individual
MRS. TRICIA E DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
6917 GEYER SPRINGS RD, STE 1S, LITTLE ROCK, AR 72209
(501) 570-4004
(501) 570-4003
Mailing address
215 LOCUST ST, CONWAY, AR 72032
(501) 269-0642
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1922
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146145721
—
AR
01
—
5X815
BLUE CROSS
AR
Enumeration date
03/15/2006
Last updated
09/06/2011
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