Prescott, Lisa
Prescott, Lisa is an sole proprietor health care provider with primary practice located at 2410 Rike Dr , Pine Bluff AR 71603-3935. 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. Prescott, Lisa can be contacted via phone (870) 534-2035.Contact Information
Primary practice address
2410 Rike Dr
Pine Bluff AR 71603-3935
Phone: (870) 534-2035
Fax: (870) 534-2058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP804 | Arkansas |
Profile Details
| NPI number | 1043222391 |
|---|---|
| LBN Legal business name | Prescott, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043222391 | NPPES |
| Arkansas | MEDICAID | 122290721 |
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