Healthcare Provider Details

I. General information

NPI: 1356673552
Provider Name (Legal Business Name): AMY MARIE DAY SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS AMY MARIE RAYMOND

II. Dates (important events)

Enumeration Date: 02/12/2010
Last Update Date: 11/07/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 WEST PERRY RD
ROGERS AR
72758
US

IV. Provider business mailing address

500 W. WALNUT ST
ROGERS AR
72756
US

V. Phone/Fax

Practice location:
  • Phone: 479-631-3515
  • Fax: 479-202-9105
Mailing address:
  • Phone: 479-636-3910
  • Fax: 479-202-9100

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:
Title or Position:
Credential:
Phone: