Healthcare Provider Details

I. General information

NPI: 1932313384
Provider Name (Legal Business Name): LAFAYETTE COUNTY PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 SCHOOL STREET
LEWISVILLE AR
71845
US

IV. Provider business mailing address

PO BOX 950
LEWISVILLE AR
71845
US

V. Phone/Fax

Practice location:
  • Phone: 870-921-0509
  • Fax: 870-921-5095
Mailing address:
  • Phone: 870-921-0509
  • Fax: 870-921-5095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateAR

VIII. Authorized Official

Name: MRS. BONNIE M. VEST
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: MACCC-SLP
Phone: 870-510-2841