Dallas Carson
Speech-Language Pathologist, in Jonesboro, AR. Individual provider (NPI-1).
NPI number1164094710
StatusActive
Last updated in NPPESJul 13, 2021
Details
- NPI
- 1164094710
- Entity type
- Individual (NPI-1)
- Name
- Dallas Carson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2021
- Certification date
- Jul 13, 2021
- Last updated
- Jul 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 201526 | AR | Yes |
Practice location
3005 Apache DrJonesboro, AR 72401-7432
Phone 870-336-0238
Mailing address
3005 Apache DrJonesboro, AR 72401-7432
Phone 870-336-0238
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