Individual
ANGELA DYAN ALDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 HOLLY ST, LONOKE, AR 72086
(501) 438-5274
Mailing address
PO BOX 34, BRADFORD, AR 72020-0034
(501) 438-5274
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 2162
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145177721
—
AR
Enumeration date
03/16/2011
Last updated
01/04/2023
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