Provider Demographics
NPI:1174776421
Name:PEYTON, YOLANDA LATRECE (MS,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:LATRECE
Last Name:PEYTON
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MOUNTAIN RIDGE CV
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-6998
Mailing Address - Country:US
Mailing Address - Phone:501-803-0252
Mailing Address - Fax:
Practice Address - Street 1:4 MOUNTAIN RIDGE CV
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-6998
Practice Address - Country:US
Practice Address - Phone:501-803-0252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#1909235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARSP#1909OtherARKANSAS BOARD OF EXAMINERS FOR SPEECH PATHOLOGY & AUDIOLOGY