Healthcare Provider Details

I. General information

NPI: 1184755423
Provider Name (Legal Business Name): OCHS SPEECH PATHOLOGY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 02/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2227 COLUMBIA ROAD 529
MAGNOLIA AR
71753-8738
US

IV. Provider business mailing address

16 SUMMERWOOD DR
MAGNOLIA AR
71753-8442
US

V. Phone/Fax

Practice location:
  • Phone: 870-904-9408
  • Fax:
Mailing address:
  • Phone: 870-904-9408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KATHLEEN OCHS
Title or Position: SPEECH PATHOLOGIST
Credential:
Phone: 870-904-9408