Provider Demographics
NPI:1326273756
Name:BELL, PAULA TAYLOR (MSP, CCC)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:TAYLOR
Last Name:BELL
Suffix:
Gender:F
Credentials:MSP, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 GERMAY CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-5519
Mailing Address - Country:US
Mailing Address - Phone:501-821-4909
Mailing Address - Fax:
Practice Address - Street 1:40 GERMAY CT
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-5519
Practice Address - Country:US
Practice Address - Phone:501-821-4909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2672235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR235200000XMedicaid