Healthcare Provider Details

I. General information

NPI: 1154264455
Provider Name (Legal Business Name): DESIREE NICOLE SAWYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2026
Last Update Date: 04/11/2026
Certification Date: 04/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 NIX RIDGE RD
ASH FLAT AR
72513-9017
US

IV. Provider business mailing address

23A WILKES LN
ASH FLAT AR
72513-9631
US

V. Phone/Fax

Practice location:
  • Phone: 870-994-3107
  • Fax:
Mailing address:
  • Phone: 870-710-1587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: