Provider Demographics
NPI:1326495359
Name:PEARSON'S SPEECH THERAPY
Entity Type:Organization
Organization Name:PEARSON'S SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULAINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:479-462-5973
Mailing Address - Street 1:PO BOX 244 / 213 EAST MAIN
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:AR
Mailing Address - Zip Code:72938-0244
Mailing Address - Country:US
Mailing Address - Phone:479-462-5973
Mailing Address - Fax:
Practice Address - Street 1:1530 W CENTER ST
Practice Address - Street 2:SUITE 3
Practice Address - City:GREENWOOD
Practice Address - State:AR
Practice Address - Zip Code:72936-3400
Practice Address - Country:US
Practice Address - Phone:479-252-6105
Practice Address - Fax:479-252-6263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty