Phelan, Marilyn

Phelan, Marilyn is an sole proprietor health care provider with primary practice located at 999 Schneider Drive , Malvern AR 72104. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Phelan, Marilyn can be contacted via phone (501) 337-9500.

Contact Information

Primary practice address
999 Schneider Drive Malvern AR 72104
Phone: (501) 337-9500
Fax: (501) 337-1944
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A95 Arkansas
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#P7954 Arkansas

Profile Details

NPI number 1740246438
LBN Legal business name Phelan, Marilyn
Credentials CCC A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2006
Last updated Aug 24th, 2007 - about 19 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 1740246438 NPPES
Arkansas Other 56468 MEDIPAK ARK BCBS

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