MEDICARE: HIGHER LEARNING PREPARATORY LEARNING CENTER INC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598973950
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHER LEARNING PREPARATORY LEARNING CENTER INC

Provider Business Mailing Address
First Line	:	6520 BASELINE RD STE A
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72209-4755
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6520 BASELINE RD STE A
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72209-4755
Country	:	US
Telephone Number	:	501-570-4001
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MARCUS DARNELL BARNES
Credential	:
Telephone Number	:	501-570-4001

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	06/24/2008

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