Lee, Mary

Lee, Mary is an individual health care provider with primary practice located at 1276 S Main St , Cave Springs AR 72718. 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. Lee, Mary can be contacted via phone (479) 245-3515.

Contact Information

Primary practice address
1276 S Main St Cave Springs AR 72718
Phone: (479) 245-3515
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1114448065
LBN Legal business name Lee, Mary
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2017
Last updated Feb 5th, 2019 - about 7 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 1114448065 NPPES
Arkansas MEDICAID 228589721

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