<Unavail>

LBN: Star Pediatric Therapy Llc
<Unavail> is an health care organization with primary practice located at 82 W Sunbridge Dr , Fayetteville AR 72703-1822. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Star Pediatric Therapy Llc can be contacted via phone (479) 301-2614, or through Simpson, Misty via phone (479) 301-2614.

Contact Information

Primary practice address
82 W Sunbridge Dr Fayetteville AR 72703-1822
Phone: (479) 301-2614
Fax: (479) 301-2615
Website:
Map and Directions
Authorized official contact:
Name: Simpson, Misty
Phone: (479) 301-2614

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2659 Arkansas

Profile Details

NPI number 1598243370
LBN Legal business name Star Pediatric Therapy Llc
DBA Doing business as <Unavail>
Authorized official Simpson, Misty
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2018
Last updated Aug 2nd, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598243370 NPPES
Arkansas MEDICAID 226788742

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