Deedra A Branscum in Rogers - Speech-language Pathologist
Deedra A Branscum - NPI 1487860904
Deedra A Branscum is a Speech-language Pathologist in Rogers, Arkansas. Deedra A Branscum practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Deedra A Branscum is 1487860904. The last update date is 2007-07-08.
Deedra A Branscum's current location address is 2403 Marylane Dr, Rogers, Arkansas. You can contact this provider via phone number 4797907979 and fax number 4796318993. The mailing address for Deedra A Branscum is 2403 Marylane Dr, Rogers, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deedra A Branscum |
|---|---|
| Address | 2403 Marylane Dr, Rogers, Arkansas |
| Phone Number | 4797907979 |
| Fax Number | 4796318993 |
| Sole Proprietor | N |
| Credentials | M.S., CCC- |
NPI Number Detail
| NPI Number | 1487860904 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2403 Marylane Dr |
|---|---|
| City | Rogers |
| State | Arkansas (AR) |
| Post Code | 727566702 |
| Phone Number | 4797907979 |
| Fax Number | 4796318993 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SP#1654 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5W811 | AR | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Deedra A Branscum by the Centers for Medicare & Medicaid Services?
The Deedra A Branscum has been issued the NPI (National Provider Identifier) 1487860904, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Deedra A Branscum's facilities are geographically located?
The facilities of Deedra A Branscum are physically situated at the following location: 2403 Marylane Dr, Rogers, AR, 727566702.
What is Deedra A Branscum's specialized field of practice, and what is the corresponding taxonomy classification code?
The Deedra A Branscum's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
When did Deedra A Branscum receive its 1487860904 assignment?
The Deedra A Branscum was assigned its 1487860904 on 2007-05-14, which is the date when this unique identifier was issued to the organization.
When was the Deedra A Branscum's information last updated?
The Deedra A Branscum's information was last updated on 2007-07-08.