1932371937 NPI number — MRS. DEEDRA LYNN FRANKS M.S. CCC-SLP

Table of content: MRS. DEEDRA LYNN FRANKS M.S. CCC-SLP (NPI 1932371937)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932371937 NPI number — MRS. DEEDRA LYNN FRANKS M.S. CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRANKS
Provider First Name:
DEEDRA
Provider Middle Name:
LYNN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.S. CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FRANKS
Provider Other First Name:
DEDE
Provider Other Middle Name:
SMITH
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.S. CCC-SLP
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1932371937
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/31/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5116 R ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LITTLE ROCK
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72207-4621
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
501-353-1860
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
810 W MARKHAM ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LITTLE ROCK
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72201-1306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-447-1000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/31/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  SP#1278 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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