Provider Demographics
NPI:1881907962
Name:MYERS, MOLLY ELIZABETH (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:ELIZABETH
Last Name:MYERS
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 1:14 OVERLOOK RD
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-4922
Mailing Address - Country:US
Mailing Address - Phone:501-230-0483
Mailing Address - Fax:
Practice Address - Street 1:14 OVERLOOK RD
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-4922
Practice Address - Country:US
Practice Address - Phone:501-230-0483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist