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NPI Code Detail

MEDICARE: ANNETTE ROWE MS, CCC-SLP

MEDICARE:   ANNETTE  ROWE  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 Pathologist926AR

General Provider Information

NPI Number : 1578712915
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE ROWE MS, CCC-SLP
Provider Business Mailing Address
First Line : 19773 GARMON RD
Second Line :
City : GENTRY
State : AR
Zip : 72734-8805
Country : US
Telephone Number : 479-736-8141
Fax Number :
Provider Business Practice Location Address
First Line : 1500 W JEFFERSON ST
Second Line :
City : SILOAM SPRINGS
State : AR
Zip : 72761-3056
Country : US
Telephone Number : 479-524-5134
Fax Number : 479-524-8211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2008
Last Update Date : 09/10/2008

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Directions to “ ANNETTE ROWE MS, CCC-SLP” Practice Location

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