Provider Demographics
NPI:1548650708
Name:ENGELKES, CHRISTOPHER BRIAN (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BRIAN
Last Name:ENGELKES
Suffix:
Gender:M
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 RICHARDS RD
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117
Mailing Address - Country:US
Mailing Address - Phone:501-975-7550
Mailing Address - Fax:501-975-7553
Practice Address - Street 1:4220 RICHARDS RD
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117
Practice Address - Country:US
Practice Address - Phone:501-975-7550
Practice Address - Fax:501-975-7553
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR201293231H00000X
AZDA9874231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
14153348OtherAMERICAN SPEECH LANGUAGE AND HEARING ASSCOCIATION
AR316677720Medicaid
14153348OtherAMERICAN SPEECH LANGUAGE AND HEARING ASSCOCIATION