Provider Demographics
NPI:1306504733
Name:SNOW, WHITNEY LYNN
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:LYNN
Last Name:SNOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2348 HIGHWAY 311
Mailing Address - Street 2:
Mailing Address - City:GREEN FOREST
Mailing Address - State:AR
Mailing Address - Zip Code:72638-2796
Mailing Address - Country:US
Mailing Address - Phone:870-350-4223
Mailing Address - Fax:
Practice Address - Street 1:601 SCHOOL DR
Practice Address - Street 2:
Practice Address - City:GREEN FOREST
Practice Address - State:AR
Practice Address - Zip Code:72638-3530
Practice Address - Country:US
Practice Address - Phone:870-438-5202
Practice Address - Fax:870-438-4380
Is Sole Proprietor?:No
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant