Healthcare Provider Details

I. General information

NPI: 1235340274
Provider Name (Legal Business Name): UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 03/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5820 ASHER AVE STE 600
LITTLE ROCK AR
72204-7871
US

IV. Provider business mailing address

2801 SOUTH UNIVERSITY SUITE 600
LITTLE ROCK AR
72204
US

V. Phone/Fax

Practice location:
  • Phone: 501-569-3155
  • Fax: 501-569-3157
Mailing address:
  • Phone: 501-569-3156
  • Fax: 501-569-3157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateAR

VIII. Authorized Official

Name: DR. AMYN M AMLANI
Title or Position: PROFESSOR, CHP AUDIOLOGY & SPEECH
Credential: PH.D.
Phone: 501-569-8902