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NPI Code Detail

MEDICARE: MRS. TRISTEN ELAINE PRICE M.S. CF-SLP

MEDICARE: MRS. TRISTEN ELAINE PRICE M.S. CF-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 Pathologist201343AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1201343OTHERARSP PROVISIONAL (LICENSED BY THE ARKANSAS BOARD OF EXAMINERS SPEECH- LANGUAGE PAT

General Provider Information

NPI Number : 1265006001
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TRISTEN ELAINE PRICE M.S. CF-SLP
Provider Business Mailing Address
First Line : 2586 TRAILRIDGE DR E STE 100
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-3111
Country : US
Telephone Number : 303-258-0725
Fax Number :
Provider Business Practice Location Address
First Line : 1200 RESERVOIR RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72227-5712
Country : US
Telephone Number : 501-447-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2021
Last Update Date : 05/17/2021

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