Doctor Name: | RAMONA THACH |
NPI Number: | 1427421403 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP#3100 |
Business Practice Address: | 1 Park Dr Suite A Holiday Island, AR - 726319216 |
Business Phone Number: | 4793636422 |
Business Fax Number: | 4793636763 |
Mailing Address: | 1 Park Dr, Ste A HOLIDAY ISLAND |
State: | AR |
Postal Code: | 726319405 |
Phone Number: | 4793636422 |
Fax Number: | 4793636763 |
NPI Enumeration Date: | 11/12/2015 |
NPI Last Update Date: | 03/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#3100 |
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 |