THE SPEECH PATH OF NEA, LLC (NPI# 1164731253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164731253 |
| Entity Type | Organization |
| Organization Name | THE SPEECH PATH OF NEA, LLC |
| Practice Address |
615 Canal Ave E Wynne AR 72396-3003 |
| Mailing Address |
25 Wynnewood Dr N Wynne AR 72396-1803 |
| Practice Telephone | 8705881997 |
| Practice Fax Number | 8702088139 |
| Mailing Telephone | 8705881997 |
| Mailing Fax Number | 8702088139 |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2014-09-18 |
| Authorized Official Name | MRS. ASHLEY BOECKMANN KING (OWNER/SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 8705881997 |
| Authorized Official Credential | SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP#2403 | AR | Speech, Language and Hearing Service Providers |
| Street Address |
615 CANAL AVE E |
| City | WYNNE |
| State | AR |
| Zip Code | 72396-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753011 | Jason Lansdale | Physical Therapy Assistant | 615 Canal Ave E, Wynne, AR 72396-3003 | 2020-09-01 |
| 1114550787 | Tiffani Lynette Campbell | Occupational Therapy Assistant | 615 Canal Ave E, Wynne, AR 72396-3003 | 2020-02-21 |
| 1932665130 | Jamie Montana Dennis | Occupational Therapy Assistant | 615 Canal Ave E, Wynne, AR 72396-3003 | 2019-02-13 |
| 1790298974 | Patricia Kyle O'brien | Occupational Therapy Assistant | 615 Canal Ave E, Wynne, AR 72396-3003 | 2017-11-10 |
| 1275077075 | William Ritchie | Occupational Therapy Assistant | 615 Canal Ave E, Wynne, AR 72396-3003 | 2016-12-13 |
| 1952858607 | Amanda Noelle Smith | Occupational Therapist | 615 Canal Ave E, Wynne, AR 72396-3003 | 2016-09-09 |
| 1457717662 | Joshua Wayne Sharp | Occupational Therapist | 615 Canal Ave E, Wynne, AR 72396-3003 | 2016-01-05 |
| 1659717239 | Jamie Foster | Occupational Therapy Assistant | 615 Canal Ave E, Wynne, AR 72396-3003 | 2013-05-22 |
| 1811233976 | Kayla Marie West | Speech-Language Pathologist | 615 Canal Ave E, Wynne, AR 72396-3003 | 2012-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918813 | David Makool | Occupational Therapy Assistant | 2000 Gogbill Road, Wynne, AR 72396 | 2017-12-14 |
| 1912425554 | Barbara Ann Burgess | Case Manager/Care Coordinator | 661 Addison, Wynne, AR 72396 | 2017-09-05 |
| 1518481308 | Tyler Leigh Shumard | Physical Therapy Assistant | 128 County Road 145, Wynne, AR 72396 | 2017-08-02 |
| 1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
| 1417106493 | Katherine Danielle Calhoun | Dietitian, Registered | 1013 Bridges Ave East, Wynne, AR 72396 | 2008-09-15 |
| 1053531319 | George Scott Puryear, Dds, Pa | Dentist | 715 East Eldrdige Avenue, Wynne, AR 72396 | 2007-04-27 |
| 1730245465 | Marilyn J Cullum | Counselor | 1742 Falls Blvd. Suite 5, The Logan Center, Wynne, AR 72396 | 2006-12-28 |
| 1770655185 | Robert Walton Bassham | Dentist | 669 Addison Drive, Wynne, AR 72396 | 2006-11-14 |
| 1073683827 | George Scott Puryear Jr. | Dentist | 715 E. Eldridge Ave, Wynne, AR 72396 | 2006-11-09 |
| 1194809517 | Richard Keeter Toland | Dentist | 2100 North Killough, Wynne, AR 72396 | 2006-10-24 |
| Find all providers in zip 72396 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154697928 | Forrest Dayanne Utley | Speech-Language Pathologist | 390 County Road 372, Wynne, AR 72396-8552 | 2012-03-27 |
| 1275823494 | Jamie L Frederick | Speech-Language Pathologist | 111 Merriman Ave E, Wynne, AR 72396-2941 | 2011-04-08 |
| 1770730723 | Laura Beth Bassham | Speech-Language Pathologist | 1300 Falls Blvd N, Wynne, AR 72396-1622 | 2008-08-21 |
| 1649441239 | Marian P. Ritchie | Speech-Language Pathologist | 45 County Road 726, Wynne, AR 72396-8025 | 2008-03-21 |
| 1811101082 | Frances Felicia Quinn | Speech-Language Pathologist | 1708 Alesha Dr, Wynne, AR 72396-3733 | 2007-05-09 |
| 1932224615 | Cindy R Easley | Speech-Language Pathologist | 59 County Road 395, Wynne, AR 72396-8145 | 2007-03-20 |
| 1902307135 | Speaking Out Therapy Services Pllc | Speech-Language Pathologist | 613 Church St N, Wynne, AR 72396-2603 | 2018-02-22 |
| 1497294409 | Amanda Green | Speech-Language Pathologist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2017-02-23 |
| 1093149437 | Rachelle Johnson | Speech-Language Pathologist | 613 Church St N, Wynne, AR 72396-2603 | 2013-08-21 |
| 1811233976 | Kayla Marie West | Speech-Language Pathologist | 615 Canal Ave E, Wynne, AR 72396-3003 | 2012-12-18 |
| Find all providers in WYNNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.