Provider Demographics
NPI:1932720299
Name:IOVINELLI, DEEANN MARIE (HIS, ACA)
Entity Type:Individual
Prefix:
First Name:DEEANN
Middle Name:MARIE
Last Name:IOVINELLI
Suffix:
Gender:F
Credentials:HIS, ACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HALSTED CIR STE C
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-3145
Mailing Address - Country:US
Mailing Address - Phone:479-372-4883
Mailing Address - Fax:479-372-4975
Practice Address - Street 1:11 HALSTED CIR STE C
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-3145
Practice Address - Country:US
Practice Address - Phone:479-372-4883
Practice Address - Fax:479-372-4975
Is Sole Proprietor?:No
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR595237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist