Fountain, Darla R

Fountain, Darla R is an individual health care provider with primary practice located at 4824 Mcknight Rd , Texarkana TX 75503-0935. 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. Fountain, Darla R can be contacted via phone (903) 793-6135.

Contact Information

Primary practice address
4824 Mcknight Rd Texarkana TX 75503-0935
Phone: (903) 793-6135
Fax: (903) 793-0053
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 14573 Texas

Profile Details

NPI number 1326084864
LBN Legal business name Fountain, Darla R
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jan 5th, 2022 - about 3 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 1326084864 NPPES
Arkansas MEDICAID 118613721
Arkansas Other 528367
Arkansas Other 97971
Arkansas MEDICAID 089225901

Popular Providers