Provider Demographics
NPI:1821312703
Name:LANGUAGE CONNECTIONS, INC.
Entity Type:Organization
Organization Name:LANGUAGE CONNECTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CARSHINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VINCENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-316-0812
Mailing Address - Street 1:3700 KRISTI LAKE DR
Mailing Address - Street 2:APT H 12
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404-8391
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3700 KRISTI LAKE DR
Practice Address - Street 2:APT H 12
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72404-8391
Practice Address - Country:US
Practice Address - Phone:870-316-0812
Practice Address - Fax:870-203-0226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-20
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR145061721Medicaid