Healthcare Provider Details

I. General information

NPI: 1669620993
Provider Name (Legal Business Name): ANNABELLE LEE BOWERS M.S., CFY-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2008
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 BAPTIST HEALTH DR
LITTLE ROCK AR
72205-6229
US

IV. Provider business mailing address

11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK AR
72211-4393
US

V. Phone/Fax

Practice location:
  • Phone: 501-202-4630
  • Fax: 501-202-4635
Mailing address:
  • Phone: 501-202-4630
  • Fax: 501-202-4635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2008015150
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number203439
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: