Individual
MAKENNA MARIE SISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CFY-SLP
Contact information
Practice address
6815 ISAACS ORCHARD RD STE D, SPRINGDALE, AR 72762-6285
(479) 856-6400
Mailing address
6815 ISAACS ORCHARD RD STE D, SPRINGDALE, AR 72762-6285
(479) 856-6400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201712
AR
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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