Fortune, Shay M

Fortune, Shay M is an sole proprietor health care provider with primary practice located at 4207 Longtree Cv , Little Rock AR 72212-1909. 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. Fortune, Shay M can be contacted via phone (501) 350-1008.

Contact Information

Primary practice address
4207 Longtree Cv Little Rock AR 72212-1909
Phone: (501) 350-1008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1398 Arkansas

Profile Details

NPI number 1134522667
LBN Legal business name Fortune, Shay M
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2014
Last updated Sep 29th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134522667 NPPES
Arkansas MEDICAID 135061721

Popular Providers