MEDICARE: MRS. RITA GRAY RAMEY 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	SP288	AR

General Provider Information

NPI Number	:	1346287786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RITA GRAY RAMEY M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	2105 FIANNA WAY
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72908-0780
Country	:	US
Telephone Number	:	479-648-9029
Fax Number	:	479-648-9029

Provider Business Practice Location Address
First Line	:	322 N GREENWOOD AVE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72901-3454
Country	:	US
Telephone Number	:	479-782-9600
Fax Number	:	479-782-1555

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	07/09/2007

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Directions to “ MRS. RITA GRAY RAMEY M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

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