Healthcare Provider Details
I. General information
NPI: 1184848285
Provider Name (Legal Business Name): SPEECH PATHOLOGY ASSOCAITES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1115 FAIRVIEW RD SW
CAMDEN AR
71701-6416
US
IV. Provider business mailing address
1115 FAIRVIEW RD SW
CAMDEN AR
71701-6416
US
V. Phone/Fax
- Phone: 870-231-4000
- Fax:
- Phone: 870-231-4000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 1483 |
| License Number State | AR |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2355S0801X |
| Taxonomy | Speech-Language Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JEANNE
BETH
HAMPTON
Title or Position: CO-OWNER
Credential: M.A. CCC-SLP
Phone: 870-231-4000