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MS. LISA KAY RUPLE MSE CCC SLP
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1154569515
Individual Registrant:MS. LISA KAY RUPLE MSE CCC SLP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
124 SCHOOL RD. ROSE BUD, AR 72137 US
Tel: 501-556-5152 Fax: 501-556-6001
Tel: 501-556-5152 Fax: 501-556-6001
Contact information for business:
124 SCHOOL RD. ROSE BUD, AR 72137 US
Tel: 501-556-5152 Fax: --
Tel: 501-556-5152 Fax: --
Registration Information:
NPI: 1154569515
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | AR | 611 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 139362721 | AR | 05 |
