Provider Demographics
NPI:1417005752
Name:POWELL, RITA VAUGHN (M S,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:VAUGHN
Last Name:POWELL
Suffix:
Gender:F
Credentials:M S,CCC-SLP
Other - Prefix:
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Mailing Address - Street 1:114 BELLRINGER CIR
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-9048
Mailing Address - Country:US
Mailing Address - Phone:501-767-1981
Mailing Address - Fax:501-767-2246
Practice Address - Street 1:407 CARSON ST
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-6852
Practice Address - Country:US
Practice Address - Phone:501-620-5525
Practice Address - Fax:501-321-9828
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#689235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist