Provider Demographics
NPI:1629300355
Name:NEAL, CHESKA NICOLE
Entity Type:Individual
Prefix:MRS
First Name:CHESKA
Middle Name:NICOLE
Last Name:NEAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 IRBY DR
Mailing Address - Street 2:APT 4310
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-7733
Mailing Address - Country:US
Mailing Address - Phone:479-883-9705
Mailing Address - Fax:
Practice Address - Street 1:602 N LINCOLN ST
Practice Address - Street 2:CABOT PUBLIC SCHOOLS
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-2601
Practice Address - Country:US
Practice Address - Phone:479-883-9705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR12132796235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist