Provider Demographics
NPI:1770706210
Name:N'SPEECH
Entity type:Organization
Organization Name:N'SPEECH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICKY
Authorized Official - Middle Name:
Authorized Official - Last Name:TINER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:501-208-1011
Mailing Address - Street 1:289 HIGHWAY 287
Mailing Address - Street 2:
Mailing Address - City:PLUMERVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72127-8866
Mailing Address - Country:US
Mailing Address - Phone:501-208-1011
Mailing Address - Fax:501-354-5541
Practice Address - Street 1:289 HIGHWAY 287
Practice Address - Street 2:
Practice Address - City:PLUMERVILLE
Practice Address - State:AR
Practice Address - Zip Code:72127-8866
Practice Address - Country:US
Practice Address - Phone:501-208-1011
Practice Address - Fax:501-354-5541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#1091235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty