Provider Demographics
NPI:1114165248
Name:BIGGERS, TRICIA DIAN MURPHREE
Entity Type:Individual
Prefix:MRS
First Name:TRICIA
Middle Name:DIAN MURPHREE
Last Name:BIGGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 CANTERBURY CIR
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72802-2114
Mailing Address - Country:US
Mailing Address - Phone:479-567-5802
Mailing Address - Fax:
Practice Address - Street 1:108 CANTERBURY CIR
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72802-2114
Practice Address - Country:US
Practice Address - Phone:479-567-5802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR940235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
01106510OtherASHA
AR940OtherAR BOARD OF EXAMINERSSPEECH LANGUAGE PATHOLOGY LICENSE