Tibbett, Heather Dawn
Tibbett, Heather Dawn is an sole proprietor health care provider with primary practice located at 210 Manor St , Marion AR 72364-1936. 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. Tibbett, Heather Dawn can be contacted via phone (870) 739-1600.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP3069 | Arkansas |
Profile Details
| NPI number | 1407043946 |
|---|---|
| LBN Legal business name | Tibbett, Heather Dawn |
| Credentials | MCD, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2007 |
| Last updated | Apr 13th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407043946 | NPPES |
| Arkansas | MEDICAID | 190655721 |
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