Healthcare Provider Details

I. General information

NPI: 1659526754
Provider Name (Legal Business Name): CATHY A FLOWERS BA SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2008
Last Update Date: 11/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1036 S MAIN ST
HAMBURG AR
71646-8980
US

IV. Provider business mailing address

1036 S MAIN ST
HAMBURG AR
71646-8980
US

V. Phone/Fax

Practice location:
  • Phone: 870-853-0857
  • Fax:
Mailing address:
  • Phone: 870-853-0857
  • 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: