Provider Demographics
NPI:1235350752
Name:RUSHING, ANN K
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:K
Last Name:RUSHING
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 1:12373 HIGHWAY 145
Mailing Address - Street 2:
Mailing Address - City:MCCRORY
Mailing Address - State:AR
Mailing Address - Zip Code:72101-8166
Mailing Address - Country:US
Mailing Address - Phone:870-731-4353
Mailing Address - Fax:
Practice Address - Street 1:133 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BEEBE
Practice Address - State:AR
Practice Address - Zip Code:72012-3045
Practice Address - Country:US
Practice Address - Phone:501-882-3852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1931235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist