Healthcare Provider Details

I. General information

NPI: 1578231551
Provider Name (Legal Business Name): OLIVIA SCHLUTERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 HIGHWAY 22 E STE A
BRANCH AR
72928-9648
US

IV. Provider business mailing address

743 CROSSROADS NORTH RD
SUBIACO AR
72865-9035
US

V. Phone/Fax

Practice location:
  • Phone: 479-965-2191
  • Fax: 479-965-2723
Mailing address:
  • Phone: 479-409-0234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number201601
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: