Clevenger, Deanne Vivrette

Clevenger, Deanne Vivrette is an individual health care provider with primary practice located at 2808 Fox Meadow Ln , Jonesboro AR 72404-9346. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Clevenger, Deanne Vivrette can be contacted via phone (870) 932-4245.

Contact Information

Primary practice address
2808 Fox Meadow Ln Jonesboro AR 72404-9346
Phone: (870) 932-4245
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#510 Arkansas

Profile Details

NPI number 1194870170
LBN Legal business name Clevenger, Deanne Vivrette
Credentials MSP, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194870170 NPPES
Arkansas Other 5W966 AR BCBS PROVIDER #

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