Wright, Tara Ray

Wright, Tara Ray is an individual health care provider with primary practice located at 105 S Blair St , Springdale AR 72764-4410. 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. Wright, Tara Ray can be contacted via phone (479) 259-2339.

Contact Information

Primary practice address
105 S Blair St Springdale AR 72764-4410
Fax: (479) 751-4000
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1555SLP Arkansas

Profile Details

NPI number 1043761687
LBN Legal business name Wright, Tara Ray
Credentials MS CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2016
Last updated Oct 19th, 2016 - about 9 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 1043761687 NPPES
Arkansas MEDICAID 136914721

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