Healthcare Provider Details

I. General information

NPI: 1356261317
Provider Name (Legal Business Name): MAKAILA BOOK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 E LINCOLN ST
HAMBURG AR
71646-3303
US

IV. Provider business mailing address

512 HIGHWAY 144 N
LAKE VILLAGE AR
71653-9511
US

V. Phone/Fax

Practice location:
  • Phone: 870-853-9851
  • Fax:
Mailing address:
  • Phone: 870-632-9701
  • 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: