Provider Demographics
NPI:1457683427
Name:FOULK, BARBARA LEE-ANN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:LEE-ANN
Last Name:FOULK
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 1:301 ELBERTA ST
Mailing Address - Street 2:
Mailing Address - City:LAMAR
Mailing Address - State:AR
Mailing Address - Zip Code:72846-8100
Mailing Address - Country:US
Mailing Address - Phone:479-885-3363
Mailing Address - Fax:479-885-2386
Practice Address - Street 1:301 ELBERTA ST
Practice Address - Street 2:
Practice Address - City:LAMAR
Practice Address - State:AR
Practice Address - Zip Code:72846-8100
Practice Address - Country:US
Practice Address - Phone:479-885-3363
Practice Address - Fax:479-885-2386
Is Sole Proprietor?:No
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR#2368235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist