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NPI Code Detail

MEDICARE: MICHELLE L. OLIVER MS, CCC-SLP

MEDICARE:   MICHELLE L. OLIVER  MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP#2512AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164633897
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE L. OLIVER MS, CCC-SLP
Provider Business Mailing Address
First Line : 1500 HOUSTON ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72901-7214
Country : US
Telephone Number : 479-414-9450
Fax Number :
Provider Business Practice Location Address
First Line : 1340 S WALDRON RD
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-2556
Country : US
Telephone Number : 479-755-6601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 06/15/2026

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Directions to “ MICHELLE L. OLIVER MS, CCC-SLP” Practice Location

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