Provider Demographics
NPI:1922490127
Name:TURPEN, ELIZABETH ALINE (MCD, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ALINE
Last Name:TURPEN
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:ALI
Other - Middle Name:
Other - Last Name:CONCKLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1523 MARKETPLACE DR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-5219
Mailing Address - Country:US
Mailing Address - Phone:870-358-1400
Mailing Address - Fax:870-782-2862
Practice Address - Street 1:1523 MARKETPLACE DR
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-5219
Practice Address - Country:US
Practice Address - Phone:870-358-1400
Practice Address - Fax:870-782-2862
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3978235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR213552721Medicaid