Healthcare Provider Details

I. General information

NPI: 1932343381
Provider Name (Legal Business Name): ANN DENNISE BARROW MCD,CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2009
Last Update Date: 04/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 WOODLAND HEIGHTS RD
LITTLE ROCK AR
72212-2495
US

IV. Provider business mailing address

20703 RIVER VISTA CIR
ROLAND AR
72135-9386
US

V. Phone/Fax

Practice location:
  • Phone: 501-227-3600
  • Fax: 501-227-3601
Mailing address:
  • Phone: 804-433-5606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1244
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: