Doctor Name: | LORI CELESTE BRUSH |
NPI Number: | 1730499377 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CF-SLP |
License Number: | SP#P8374 |
Business Practice Address: | 441 Mccain Blvd North Little Rock, AR - 721167112 |
Business Phone Number: | 5017718170 |
Business Fax Number: | 5017718172 |
Mailing Address: | 2008 Cedar Creek Rd, NORTH LITTLE ROCK |
State: | AR |
Postal Code: | 721165707 |
Phone Number: | 5018351545 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2010 |
NPI Last Update Date: | 10/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#P8374 |
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 |