Provider Demographics
NPI:1356454938
Name:OLINDE, FRANK LEROY JR (MA)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:LEROY
Last Name:OLINDE
Suffix:JR
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 N OAK ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-4153
Mailing Address - Country:US
Mailing Address - Phone:501-663-3524
Mailing Address - Fax:
Practice Address - Street 1:2200 FORT ROOTS DR (126/NLR)
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:42114
Practice Address - Country:US
Practice Address - Phone:501-257-1085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA 187231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist