Derden, Laura
Derden, Laura is an individual health care provider with primary practice located at 2740 College Avenue , Conway AR 72034-9310. 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. Derden, Laura can be contacted via phone (501) 329-5459.Contact Information
Primary practice address
2740 College Avenue
Conway AR 72034-9310
Phone: (501) 329-5459
Fax: (501) 325-1378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP1699 | Arkansas |
Profile Details
| NPI number | 1972655967 |
|---|---|
| LBN Legal business name | Derden, Laura |
| Credentials | MS CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jan 23rd, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972655967 | NPPES |
| Arkansas | MEDICAID | 141423721 |
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