Branscum, Deedra A
Branscum, Deedra A is an individual health care provider with primary practice located at 2403 Marylane Dr , Rogers AR 72756-6702. 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. Branscum, Deedra A can be contacted via phone (479) 790-7979.Contact Information
Primary practice address
2403 Marylane Dr
Rogers AR 72756-6702
Phone: (479) 790-7979
Fax: (479) 631-8993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP#1654 | Arkansas |
Profile Details
| NPI number | 1487860904 |
|---|---|
| LBN Legal business name | Branscum, Deedra A |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1487860904 | NPPES |
| Arkansas | Other | 5W811 | BLUE CROSS BLUE SHIELD |
Popular Providers
-
Jones, Sondra
3400 Woods Lane , Rogers AR 72756 -
James, Sue Ellen
1000 W Poplar St , Rogers AR 72756-4242 -
Goodwin, Jill Marie
1933 S 18Th St , Rogers AR 72758-6211 -
Hickam, Sarah Elizabeth
1210 Rolling Oaks Ln , Rogers AR 72756-2331 -
Sutton Totten, Charles Ashley
1000 W Poplar St , Rogers AR 72756-4242 -
Ford, Mary W.
16770 Heritage Bay Rd #G7, Rogers AR 72756-8243 -
Parsons, Linda Carol
2510 W Hudson Rd , Rogers AR 72756-2072 -
Elshire, Stacy
3400 Woods Lane , Rogers AR 72756