Roark, Desarae

Roark, Desarae is an individual health care provider with primary practice located at 1902 Hairston St , Conway AR 72034-3227. 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. Roark, Desarae can be contacted via phone (501) 450-6634.

Contact Information

Primary practice address
1902 Hairston St Conway AR 72034-3227
Phone: (501) 450-6634
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 646 Arkansas

Profile Details

NPI number 1295159382
LBN Legal business name Roark, Desarae
Credentials M.S. CCC SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2014
Last updated Feb 10th, 2014 - about 12 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

Popular Providers