Provider Demographics
NPI:1578712915
Name:ROWE, ANNETTE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:ROWE
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 1:19773 GARMON RD
Mailing Address - Street 2:
Mailing Address - City:GENTRY
Mailing Address - State:AR
Mailing Address - Zip Code:72734-8805
Mailing Address - Country:US
Mailing Address - Phone:479-736-8141
Mailing Address - Fax:
Practice Address - Street 1:1500 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761-3056
Practice Address - Country:US
Practice Address - Phone:479-524-5134
Practice Address - Fax:479-524-8211
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR926235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist