Doctor Name: | MRS. COURTNEY WYNN REGESTER |
NPI Number: | 1568899011 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CF-SLP |
License Number: | P8730 |
Business Practice Address: | 8337 Counts Massie Rd 102 North Little Rock, AR - 721135376 |
Business Phone Number: | 5016173086 |
Business Fax Number: | |
Mailing Address: | 8337 Counts Massie Rd, 102 NORTH LITTLE ROCK |
State: | AR |
Postal Code: | 721135376 |
Phone Number: | 5016173086 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2013 |
NPI Last Update Date: | 06/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | P8730 |
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 |