Basic Information
Provider Information
NPI: 1447537733
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RHODES
FirstName: ARLENE
MiddleName: M.
NamePrefix:  
NameSuffix:  
Credential: CCC-SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 136 WILLIAM ST
Address2:  
City: SPRINGFIELD
State: MA
PostalCode: 011052324
CountryCode: US
TelephoneNumber: 4137882171
FaxNumber: 4137882172
Practice Location
Address1: 136 WILLIAM ST
Address2:  
City: SPRINGFIELD
State: MA
PostalCode: 011052324
CountryCode: US
TelephoneNumber: 4137882171
FaxNumber: 4137882172
Other Information
ProviderEnumerationDate: 11/15/2011
LastUpdateDate: 11/15/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X3856MAY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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