Healthcare Provider Details

I. General information

NPI: 1013825744
Provider Name (Legal Business Name): ELIZABETH HEWETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 FALCON RD
SPRINGDALE AR
72762-2075
US

IV. Provider business mailing address

2913 E BITTERROOT ST
FAYETTEVILLE AR
72701-3180
US

V. Phone/Fax

Practice location:
  • Phone: 479-750-8846
  • Fax:
Mailing address:
  • Phone: 479-381-4975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number203668
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: