Healthcare Provider Details
I. General information
NPI: 1013133347
Provider Name (Legal Business Name): BARBARA FITZPATRICK SOWELL M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
SHERWOOD NURSING AND REHABILITATION CENTER 245 INDIAN BAY
SHERWOOD AR
72120
US
IV. Provider business mailing address
6012 EAGLE CREEK RD
NORTH LITTLE ROCK AR
72116-5778
US
V. Phone/Fax
- Phone: 501-833-1828
- Fax: 501-833-1838
- Phone: 501-834-3436
- Fax: 501-325-3662
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 301 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: