Healthcare Provider Details

I. General information

NPI: 1891452561
Provider Name (Legal Business Name): BRITTEN SPEARS BS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2021
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 LONGVIEW DR STE B
JONESBORO AR
72401-5902
US

IV. Provider business mailing address

12930 W SARDIS RD
BAUXITE AR
72011-9279
US

V. Phone/Fax

Practice location:
  • Phone: 870-336-0238
  • Fax: 870-336-0239
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number202278
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: