Provider Demographics
NPI:1700130523
Name:PEEK, APRIL (APRIL PEEK, SLP)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:
Last Name:PEEK
Suffix:
Gender:F
Credentials:APRIL PEEK, SLP
Other - Prefix:MRS
Other - First Name:APRI
Other - Middle Name:
Other - Last Name:PEEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRIL PEEK, SLP
Mailing Address - Street 1:203 BRADLEY 35 RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:AR
Mailing Address - Zip Code:71671-8971
Mailing Address - Country:US
Mailing Address - Phone:870-820-0500
Mailing Address - Fax:
Practice Address - Street 1:203 BRADLEY 35 RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:AR
Practice Address - Zip Code:71671-8971
Practice Address - Country:US
Practice Address - Phone:870-820-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#P8642235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR193757721Medicaid