Healthcare Provider Details

I. General information

NPI: 1144604851
Provider Name (Legal Business Name): ROBYN SMITH SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 07/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1661 AIRPORT RD SUITE E
HOT SPRINGS AR
71913-7951
US

IV. Provider business mailing address

1661 AIRPORT RD SUITE E
HOT SPRINGS AR
71913-7951
US

V. Phone/Fax

Practice location:
  • Phone: 501-625-7500
  • Fax: 501-625-7777
Mailing address:
  • Phone: 501-625-7500
  • Fax: 501-625-7777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3111
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: