Provider Demographics
NPI:1225475312
Name:HURTADO, BRANDI PIPPIN (SLP)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:PIPPIN
Last Name:HURTADO
Suffix:
Gender:
Credentials:SLP
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:PAIGE
Other - Last Name:PIPPIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4301 W MARKHAM ST # 783
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-686-8000
Mailing Address - Fax:501-526-5148
Practice Address - Street 1:1301 WOLFE ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-5320
Practice Address - Country:US
Practice Address - Phone:501-372-2768
Practice Address - Fax:501-978-6492
Is Sole Proprietor?:No
Enumeration Date:2013-05-29
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP3461235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist