MEDICARE: MS. SARETA MYISHA VANLEY M.S., 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
1	235Z00000X	Speech-Language Pathologist	104226	TX
2	235Z00000X	Speech-Language Pathologist	2913	AR

General Provider Information

NPI Number	:	1326272287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARETA MYISHA VANLEY M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	5208 GUM SPRINGS RD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72209-1636
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5208 GUM SPRINGS RD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72209-1636
Country	:	US
Telephone Number	:	501-240-8983
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2009
Last Update Date	:	02/04/2025

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Directions to “ MS. SARETA MYISHA VANLEY M.S., CCC-SLP” Practice Location

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