Doctor Name: | JANNA LEIGH HINES |
NPI Number: | 1508823063 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 1837 |
Business Practice Address: | 3104 Ne 12th St Bentonville, AR - 727123717 |
Business Phone Number: | 4796968819 |
Business Fax Number: | 5015424171 |
Mailing Address: | 3104 Ne 12th St, BENTONVILLE |
State: | AR |
Postal Code: | 727123717 |
Phone Number: | 4796968819 |
Fax Number: | 5015424171 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1837 |
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 |