Traci Marie Etheridge in Little Rock - Speech-language Pathologist
Traci Marie Etheridge - NPI 1477734432
Traci Marie Etheridge is a Speech-language Pathologist in Little Rock, Arkansas. Traci Marie Etheridge practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Traci Marie Etheridge is 1477734432. The last update date is 2007-11-19.
Traci Marie Etheridge's current location address is 708 E Dixon Rd, Little Rock, Arkansas. You can contact this provider via phone number 5014905837. The mailing address for Traci Marie Etheridge is 708 E Dixon Rd, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci Marie Etheridge |
|---|---|
| Address | 708 E Dixon Rd, Little Rock, Arkansas |
| Phone Number | 5014905837 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CCC/SLP |
NPI Number Detail
| NPI Number | 1477734432 |
|---|---|
| Provider Enumeration Date | 2007-11-19 |
| Last Updated Date | 2007-11-19 |
Provider Mailing Address Detail
| Address | 708 E Dixon Rd |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722064114 |
| Phone Number | 5014905837 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 1037 |
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Definition: 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. Spe |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Traci Marie Etheridge?
The Traci Marie Etheridge has been issued the NPI (National Provider Identifier) 1477734432 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Traci Marie Etheridge is physically located?
The Traci Marie Etheridge is situated at the following address: 708 E Dixon Rd, Little Rock, AR 722064114.
What is Traci Marie Etheridge's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Traci Marie Etheridge's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1477734432 to Traci Marie Etheridge?
The Centers for Medicare & Medicaid Services assigned the 1477734432 to Traci Marie Etheridge on 2007-11-19.
When was the information regarding Traci Marie Etheridge, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Traci Marie Etheridge, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-19.