Provider Demographics
NPI:1598914517
Name:RABON, JOHN DAVIS (MSP,CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:DAVIS
Last Name:RABON
Suffix:
Gender:M
Credentials:MSP,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 CAMPGROUND RD
Mailing Address - Street 2:
Mailing Address - City:ASH FLAT
Mailing Address - State:AR
Mailing Address - Zip Code:72513-9657
Mailing Address - Country:US
Mailing Address - Phone:870-994-2161
Mailing Address - Fax:
Practice Address - Street 1:711 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CAVE CITY
Practice Address - State:AR
Practice Address - Zip Code:72521-9103
Practice Address - Country:US
Practice Address - Phone:870-283-5393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist