Individual
JONDALYN BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.L.P.
Contact information
Practice address
10 ORCHID DR, CABOT, AR 72023-4002
(501) 843-2197
Mailing address
10 ORCHID DR, CABOT, AR 72023-4002
(501) 843-2197
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2292
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X579
BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/12/2006
Last updated
07/08/2007
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