Healthcare Provider Details

I. General information

NPI: 1336070184
Provider Name (Legal Business Name): ASHLYN WIGGINS SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3291 S THOMPSON ST STE F101
SPRINGDALE AR
72764-7342
US

IV. Provider business mailing address

3291 S THOMPSON ST STE F101
SPRINGDALE AR
72764-7342
US

V. Phone/Fax

Practice location:
  • Phone: 479-750-3535
  • Fax: 479-750-3539
Mailing address:
  • Phone: 479-750-3535
  • Fax: 479-750-3539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number203525
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: