Provider Demographics
NPI:1336302835
Name:BANKS, RHONDA FAYE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:FAYE
Last Name:BANKS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 N POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-2322
Mailing Address - Country:US
Mailing Address - Phone:501-771-8093
Mailing Address - Fax:501-771-8090
Practice Address - Street 1:2200 N POPLAR ST
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-2322
Practice Address - Country:US
Practice Address - Phone:501-771-8093
Practice Address - Fax:501-771-8090
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#144235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist