Doctor Name: | PEGGY FORD |
NPI Number: | 1043500564 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2301 W Walnut St Rogers, AR - 727563586 |
Business Phone Number: | 4796317678 |
Business Fax Number: | 4796318886 |
Mailing Address: | 2606 W Dogwood St, ROGERS |
State: | AR |
Postal Code: | 727584844 |
Phone Number: | 4796338678 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2011 |
NPI Last Update Date: | 04/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |