MEDICARE: CEARRA MCPHERSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant

General Provider Information

NPI Number	:	1730995184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CEARRA MCPHERSON

Provider Business Mailing Address
First Line	:	3994 ORLEANS AVE
Second Line	:
City	:	SPRINGDALE
State	:	AR
Zip	:	72762-0212
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3994 ORLEANS AVE
Second Line	:
City	:	SPRINGDALE
State	:	AR
Zip	:	72762-0212
Country	:	US
Telephone Number	:	479-903-1408
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2024
Last Update Date	:	05/21/2025

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