Devaux, Tara D
Devaux, Tara D is an individual health care provider with primary practice located at 908 N Reynolds Rd , Bryant AR 72022-3034. 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. Devaux, Tara D can be contacted via phone (501) 847-9711.Contact Information
Primary practice address
908 N Reynolds Rd
Bryant AR 72022-3034
Phone: (501) 847-9711
Fax: (501) 847-6929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP#2393 | Arkansas |
Profile Details
| NPI number | 1962553503 |
|---|---|
| LBN Legal business name | Devaux, Tara D |
| Credentials | MA CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jan 5th, 2023 - 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 | 1962553503 | NPPES |
| Arkansas | MEDICAID | 159911721 |
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