Dana Renee Devereux, MCD, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Trumann, AR
NPI 1508912437 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1508912437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP#1569 (AR)
- Practice address
- 1005 Balcom LN
Trumann, AR 72472-9502 - Phone
- (870) 483-1461
- Fax
- (870) 483-6520
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP#1569 | AR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#1569 | AR | Yes |
Addresses
Primary practice location
1005 Balcom LN
Trumann, AR 72472-9502
Mailing address
4312 Cypress Springs Rd
Jonesboro, AR 72401-8508
Phone (870) 802-2565
Other providers in Trumann, AR
- Gwendolyn Davis
- Kieara Davis
- Dayspring Services of Arkansas LLC
- Daven Debow
- Delta EMS
- Lorraine Irene Devries
- Angela Dewberry
- Mariel Diaz
- Doctors Health Group, Inc.
- Kelton Doggett
All providers in Trumann, AR · Speech-Language Pathologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.