Dial, Lori Quattlebaum

Dial, Lori Quattlebaum is an sole proprietor health care provider with primary practice located at 1500 Museum Rd Ste 104 , Conway AR 72032-4761. 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. Dial, Lori Quattlebaum can be contacted via phone (501) 329-3804.

Contact Information

Primary practice address
1500 Museum Rd Ste 104 Conway AR 72032-4761
Phone: (501) 329-3804
Fax: (501) 329-0718
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1429 Arkansas

Profile Details

NPI number 1437257102
LBN Legal business name Dial, Lori Quattlebaum
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437257102 NPPES
Arkansas Other 09125151 ASHA
Arkansas Other 5Y687 ASHA

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