Provider Demographics
NPI:1528216223
Name:REED, MARY-MARGARET (MS CFY-SLP)
Entity Type:Individual
Prefix:
First Name:MARY-MARGARET
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:MS CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3644 W CLEARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72704-6126
Mailing Address - Country:US
Mailing Address - Phone:870-540-9580
Mailing Address - Fax:
Practice Address - Street 1:1000 W STONE ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72701-5653
Practice Address - Country:US
Practice Address - Phone:479-444-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist