Healthcare Provider Details

I. General information

NPI: 1609997832
Provider Name (Legal Business Name): COMMUNICATION PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16770 HERITAGE BAY RD #G7
ROGERS AR
72756-8243
US

IV. Provider business mailing address

16770 HERITAGE BAY RD #G7
ROGERS AR
72756-8243
US

V. Phone/Fax

Practice location:
  • Phone: 479-925-2826
  • Fax: 479-925-2826
Mailing address:
  • Phone: 479-925-2826
  • Fax: 479-925-2826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number907
License Number StateAR

VIII. Authorized Official

Name: MRS. MARY W. FORD
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: MS, CCC-SLP
Phone: 479-925-2826