Provider Demographics
NPI:1912111931
Name:KERSH, ARLETA L (SLP)
Entity Type:Individual
Prefix:
First Name:ARLETA
Middle Name:L
Last Name:KERSH
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1817 MULE MARSHALL RD
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-9026
Mailing Address - Country:US
Mailing Address - Phone:870-743-2140
Mailing Address - Fax:
Practice Address - Street 1:7349 SCHOOL STREET
Practice Address - Street 2:
Practice Address - City:VALLEY SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72682
Practice Address - Country:US
Practice Address - Phone:870-429-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#1684235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist