Provider Demographics
NPI:1851879449
Name:BARNES, ALINA CAPIRO (CF-SLP)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:CAPIRO
Last Name:BARNES
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 RIVERFRONT DR APT 1314
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-2240
Mailing Address - Country:US
Mailing Address - Phone:954-743-8425
Mailing Address - Fax:
Practice Address - Street 1:6501 W 32ND ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-5952
Practice Address - Country:US
Practice Address - Phone:501-447-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR200249405300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes405300000XOther Service ProvidersPrevention Professional