Provider Demographics
NPI:1265006001
Name:PRICE, TRISTEN ELAINE (MS CF-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TRISTEN
Middle Name:ELAINE
Last Name:PRICE
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2586 TRAILRIDGE DR E STE 100
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3111
Mailing Address - Country:US
Mailing Address - Phone:303-258-0725
Mailing Address - Fax:
Practice Address - Street 1:1200 RESERVOIR RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72227-5712
Practice Address - Country:US
Practice Address - Phone:501-447-5500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR201343235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR201343OtherSP PROVISIONAL (LICENSED BY THE ARKANSAS BOARD OF EXAMINERS SPEECH- LANGUAGE PAT