Provider Demographics
NPI:1063999803
Name:ARLT, PAIGE JEAN (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:JEAN
Last Name:ARLT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:PAIGE
Other - Middle Name:JEAN
Other - Last Name:DRAHOTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:420 S. WASHINGTON ST.
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046
Mailing Address - Country:US
Mailing Address - Phone:402-898-0436
Mailing Address - Fax:402-898-0442
Practice Address - Street 1:420 S. WASHINGTON ST.
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046
Practice Address - Country:US
Practice Address - Phone:402-898-0436
Practice Address - Fax:402-898-0442
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-24
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
NE2356235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist