Provider Demographics
NPI:1902052921
Name:BILLER, MAYSOON FAIK (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MAYSOON
Middle Name:FAIK
Last Name:BILLER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 N PARKER RD
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72801-3149
Mailing Address - Country:US
Mailing Address - Phone:479-968-4677
Mailing Address - Fax:479-890-4750
Practice Address - Street 1:1116 N PARKER RD
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72801-3149
Practice Address - Country:US
Practice Address - Phone:479-968-4677
Practice Address - Fax:479-890-4750
Is Sole Proprietor?:No
Enumeration Date:2008-08-10
Last Update Date:2008-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#1709235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist