Doctor Name: | CASEY ERIN WHITE |
NPI Number: | 1578863197 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SP#2845 |
Business Practice Address: | 301 Se 28th St Bentonville, AR - 727124195 |
Business Phone Number: | 4794648788 |
Business Fax Number: | |
Mailing Address: | 1515 N Timberline Dr, FAYETTEVILLE |
State: | AR |
Postal Code: | 727046749 |
Phone Number: | 4799360129 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2010 |
NPI Last Update Date: | 10/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#2845 |
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 |