Henard, Alicia Diane

Henard, Alicia Diane is an individual health care provider with primary practice located at 1409 Highway 201 N Ste 1 , Mountain Home AR 72653-2425. 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. Henard, Alicia Diane can be contacted via phone (870) 508-5010.

Contact Information

Primary practice address
1409 Highway 201 N Ste 1 Mountain Home AR 72653-2425
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#1090 Arkansas

Profile Details

NPI number 1295887438
LBN Legal business name Henard, Alicia Diane
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Nov 9th, 2012 - about 14 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 1295887438 NPPES
Arkansas MEDICAID 129315721

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