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NPI Code Detail

MEDICARE: LYDIA RICKARD MS, CF-SLP

MEDICARE: LYDIA RICKARD MS, 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 Pathologist

General Provider Information

NPI Number : 1386579589
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYDIA RICKARD MS, CF-SLP
Provider Business Mailing Address
First Line : 2913 E BITTERROOT ST
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72701-3180
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 W POPLAR ST
Second Line :
City : ROGERS
State : AR
Zip : 72756-4242
Country : US
Telephone Number : 479-631-7678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/17/2026

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Directions to “ LYDIA RICKARD MS, CF-SLP” Practice Location

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