Provider Demographics
NPI:1922017326
Name:ROSS, MONA YE (MA,CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:MONA
Middle Name:YE
Last Name:ROSS
Suffix:
Gender:F
Credentials:MA,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3291 S THOMPSON ST STE C101
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-7343
Mailing Address - Country:US
Mailing Address - Phone:479-466-0466
Mailing Address - Fax:479-756-1488
Practice Address - Street 1:3291 S THOMPSON ST STE C101
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-7343
Practice Address - Country:US
Practice Address - Phone:479-466-0466
Practice Address - Fax:479-756-1488
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA110231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist