WOLFPACK HEARING CLINIC, PLLC (NPI# 1376096644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376096644 |
| Entity Type | Organization |
| Organization Name | WOLFPACK HEARING CLINIC, PLLC |
| Practice Address |
2630 E Citizens Dr Ste 7 Fayetteville AR 72703-4797 |
| Practice Telephone | 4799579300 |
| Mailing Telephone | 4799579300 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |
| Authorized Official Name | DR. DUSTIN RICHARDS (OWNER, AUDIOLOGIST) |
| Authorized Official Telephone | 4799579300 |
| Authorized Official Credential | AU.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
A#373 | AR | Ambulatory Health Care Facilities |
| Street Address |
2630 E CITIZENS DR STE 7 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881030732 | Dustin Matthew Richards | Audiologist | 2630 E Citizens Dr Ste 7, Fayetteville, AR 72703-4797 | 2013-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104323724 | Universal Therapy Services | Clinic/Center | 1931 N Batsford Dr, Fayetteville, AR 72704-6961 | 2018-04-10 |
| 1043753114 | Lexicon Speech Language & Reading | Clinic/Center | 98 E Sunbridge Dr, Fayetteville, AR 72703-2852 | 2016-11-22 |
| 1780061077 | Tara Beck Slp LLC | Clinic/Center | 1010 S Dunn Ave, Apt 304, Fayetteville, AR 72701 | 2015-05-06 |
| 1063022986 | Adult Speech and Voice Care of Northwest Arkansas, LLC | Clinic/Center | 1516 N Corsica Dr, Fayetteville, AR 72704-6168 | 2020-08-05 |
| 1861808065 | Dynamic Connections Pllc | Clinic/Center | 2612 Thorngrove Ct, Fayetteville, NC 28303-2883 | 2014-07-08 |
| 1942560875 | Hearing Aid Services of Atlanta LLC | Clinic/Center | 1240 Highway 54 W, Fayetteville, GA 30214-4557 | 2012-05-25 |
| 1154654853 | Family Hearing Care | Clinic/Center | 955 Fairfield Rd, Fayetteville, NC 28303-5358 | 2009-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295343234 | Silva Speech Pathology | Clinic/Center | 5907 N Hills Blvd, North Little Rock, AR 72116-6421 | 2020-07-15 |
| 1780148445 | Central Arkansas Hearing, Inc. | Clinic/Center | 8000 Highway 107 Ste 1, Sherwood, AR 72120-5204 | 2019-01-28 |
| 1831664408 | Dystinguished Learners LLC | Clinic/Center | 201 E G St, Russellville, AR 72801-3837 | 2018-10-09 |
| 1568959179 | Kiddos Therapy | Clinic/Center | 915 W B St, Russellville, AR 72801-3501 | 2018-04-18 |
| 1699295055 | Hargis Pediatric Therapy, L.l.c | Clinic/Center | 815 N Gaskill St, Huntsville, AR 72740-8968 | 2017-06-26 |
| 1245579515 | Arkansas Autism and Behavior Sloutions, Inc. | Clinic/Center | 5901 Kersey Ln, Jonesboro, AR 72404-0548 | 2013-02-06 |
| 1073868246 | Speech Therapy Contractors, Inc. | Clinic/Center | 480 Whitney Woods Rd, Conway, AR 72034-8643 | 2012-07-13 |
| 1730419755 | Uams Outpatient Audiology Clinic | Clinic/Center | 501 Jack Stephens Dr # 543, Little Rock, AR 72205-5551 | 2010-01-14 |
| 1720315088 | Bridging The Gap Speech Therapy, LLC | Clinic/Center | 4101 S Chatfield Rd, Bauxite, AR 72011-9012 | 2009-11-06 |
| 1922334325 | Risin Above Day Treatment | Clinic/Center | 23227 I 30 Ste 28, Bryant, AR 72022-2571 | 2009-10-20 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.