Provider Demographics
NPI:1255542759
Name:FINCH, RITA FAYE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:FAYE
Last Name:FINCH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1694 HIGHWAY 168 N
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-8251
Mailing Address - Country:US
Mailing Address - Phone:870-573-6760
Mailing Address - Fax:
Practice Address - Street 1:1694 HIGHWAY 168 N
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-8251
Practice Address - Country:US
Practice Address - Phone:870-573-6760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP1729235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist