Provider Demographics
NPI:1346459229
Name:RAYBURN, FRANCES R (SLP)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:R
Last Name:RAYBURN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 GOLDEN CITY RD
Mailing Address - Street 2:
Mailing Address - City:BOONEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72927-8463
Mailing Address - Country:US
Mailing Address - Phone:479-414-9733
Mailing Address - Fax:479-675-3021
Practice Address - Street 1:707 E RUSH AVE
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-4404
Practice Address - Country:US
Practice Address - Phone:479-414-9733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP701235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist