Fadely, Ruth Joan

Fadely, Ruth Joan is an sole proprietor health care provider with primary practice located at Play Strong Pediatric Therapy 3625 W. Chestnut St., Rogers AR 72756. 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. Fadely, Ruth Joan can be contacted via phone (479) 246-0101.

Contact Information

Primary practice address
Play Strong Pediatric Therapy 3625 W. Chestnut St. Rogers AR 72756
Fax: (479) 246-0606
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 6148 Florida

Profile Details

NPI number 1700808680
LBN Legal business name Fadely, Ruth Joan
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2006
Last updated Jan 22nd, 2019 - about 6 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 1700808680 NPPES
Arkansas MEDICAID 230774721
Arkansas MEDICAID 887786600

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