Healthcare Provider Details

I. General information

NPI: 1083579775
Provider Name (Legal Business Name): HAYDEN BARNES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W MAIN ST
MARIANNA AR
72360-2102
US

IV. Provider business mailing address

PO BOX 2192
FORREST CITY AR
72336-2192
US

V. Phone/Fax

Practice location:
  • Phone: 870-295-5280
  • Fax: 870-551-3724
Mailing address:
  • Phone: 870-208-8362
  • Fax: 870-551-3724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number203402
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: