Thomas, Tanya Nichole

Thomas, Tanya Nichole is an sole proprietor health care provider with primary practice located at 109 Clubhouse Ct , Morrilton AR 72110-9171. 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. Thomas, Tanya Nichole can be contacted via phone (501) 208-3408.

Contact Information

Primary practice address
109 Clubhouse Ct Morrilton AR 72110-9171
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7935 Arkansas

Profile Details

NPI number 1427171065
LBN Legal business name Thomas, Tanya Nichole
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Feb 26th, 2013 - about 13 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 1427171065 NPPES
Arkansas MEDICAID 163948721

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