Healthcare Provider Details

I. General information

NPI: 1255880043
Provider Name (Legal Business Name): MS. MELISSA ASTIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2016
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N 4TH ST
NASHVILLE AR
71852-3911
US

IV. Provider business mailing address

153 ANTIOCH RD
NASHVILLE AR
71852-8860
US

V. Phone/Fax

Practice location:
  • Phone: 870-845-3425
  • Fax: 870-845-7344
Mailing address:
  • Phone: 870-557-2124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP#P9100
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: