Doctor Name: | SHEKASHA FROST |
NPI Number: | 1104150432 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 2540 |
Business Practice Address: | 2603 Main Dr Ste 3 Fayetteville, AR - 727045281 |
Business Phone Number: | 4798566640 |
Business Fax Number: | 4798566623 |
Mailing Address: | 2614 Meadow Vw Apt 3, FAYETTEVILLE |
State: | AR |
Postal Code: | 727049348 |
Phone Number: | 8709188632 |
Fax Number: | 4798566623 |
NPI Enumeration Date: | 09/18/2009 |
NPI Last Update Date: | 09/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2540 |
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 |