Whiteside, Lela Samantha

Whiteside, Lela Samantha is an individual health care provider with primary practice located at 10618 Breckenridge Dr , Little Rock AR 72211-1802. 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. Whiteside, Lela Samantha can be contacted via phone (501) 217-8600.

Contact Information

Primary practice address
10618 Breckenridge Dr Little Rock AR 72211-1802
Phone: (501) 217-8600
Fax: (501) 217-8636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#P8707 Arkansas

Profile Details

NPI number 1821423625
LBN Legal business name Whiteside, Lela Samantha
Credentials MS,CFY-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2013
Last updated Sep 16th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821423625 NPPES
Arkansas Other SP#P8707 ARKANSAS STATE LICENSE

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