Provider Demographics
NPI:1700029980
Name:POFF, SHEILA (MS,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:
Last Name:POFF
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 WATER ST
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-3455
Mailing Address - Country:US
Mailing Address - Phone:870-698-9141
Mailing Address - Fax:870-793-0608
Practice Address - Street 1:955 WATER ST
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-3455
Practice Address - Country:US
Practice Address - Phone:870-698-9141
Practice Address - Fax:870-793-0608
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSLP#958235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist