Doctor Name: | MITCHELL DAVID BARKER |
NPI Number: | 1003275454 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CCC-SLP |
License Number: | SP#P8918 |
Business Practice Address: | 1202 Ne Mcclain Rd Bentonville, AR - 727123875 |
Business Phone Number: | 6162556609 |
Business Fax Number: | |
Mailing Address: | 2703 W Gum St, ROGERS |
State: | AR |
Postal Code: | 727584849 |
Phone Number: | 6162556609 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2016 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#P8918 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |