Provider Demographics
NPI:1336337567
Name:CHILD FIRST THERAPY, INC.
Entity Type:Organization
Organization Name:CHILD FIRST THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:MCD, CCC-SLP
Authorized Official - Phone:870-261-5062
Mailing Address - Street 1:1315 N IZARD ST
Mailing Address - Street 2:#11
Mailing Address - City:FORREST CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72335-2109
Mailing Address - Country:US
Mailing Address - Phone:866-406-6531
Mailing Address - Fax:870-630-0450
Practice Address - Street 1:1315 N IZARD ST
Practice Address - Street 2:#11
Practice Address - City:FORREST CITY
Practice Address - State:AR
Practice Address - Zip Code:72335-2109
Practice Address - Country:US
Practice Address - Phone:866-406-6531
Practice Address - Fax:870-630-0450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2106235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty