Organization
PIERONI SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA PIERONI M.S. CCC-SLP (OWNER)
(501) 454-1917
Entity
Organization
Contact information
Practice address
1806 LAKEHALL RD, LAKE VILLAGE, AR 71653-6105
(501) 454-1917
Mailing address
1806 LAKEHALL RD, P.O. BOX 563, LAKE VILLAGE, AR 71653-6105
(501) 454-1917
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2687
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206944742
—
AR
Enumeration date
04/23/2015
Last updated
04/23/2015
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