Provider Demographics
NPI:1174905673
Name:SABELLA, ELIZABETH DILLARD
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:DILLARD
Last Name:SABELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 HIGHWAY 62 E STE 10
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-3200
Mailing Address - Country:US
Mailing Address - Phone:870-424-2224
Mailing Address - Fax:
Practice Address - Street 1:860 HIGHWAY 62 E STE 10
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-3200
Practice Address - Country:US
Practice Address - Phone:870-424-2224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP-374235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1386867620OtherNPI GROUP # FOR SCHOOL DISTRICT
AR1538597646OtherGROUP NPI# FOR PHYSICAL THERAPY SPECIALISTS OF THE OZARKS