Provider Demographics
NPI:1336358282
Name:WRIGHT AND ASSOCIATES SPEECH-LANGUAGE PATHOLOGY CLINIC
Entity Type:Organization
Organization Name:WRIGHT AND ASSOCIATES SPEECH-LANGUAGE PATHOLOGY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:870-698-9460
Mailing Address - Street 1:1652 WHITE DR # B
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-9384
Mailing Address - Country:US
Mailing Address - Phone:870-698-9460
Mailing Address - Fax:870-698-4960
Practice Address - Street 1:1652 WHITE DR # B
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-9384
Practice Address - Country:US
Practice Address - Phone:870-698-9460
Practice Address - Fax:870-698-4960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR595235Z00000X
ARC332251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty