Provider Demographics
NPI:1265781975
Name:SIHVONEN, KASEY NICOLE (MS,CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:KASEY
Middle Name:NICOLE
Last Name:SIHVONEN
Suffix:
Gender:F
Credentials:MS,CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-3898
Mailing Address - Country:US
Mailing Address - Phone:870-636-1610
Mailing Address - Fax:
Practice Address - Street 1:4600 LOCHMOOR CIR
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-8152
Practice Address - Country:US
Practice Address - Phone:870-598-4477
Practice Address - Fax:870-275-6439
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#P8560235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist