Individual
MRS. LAQUETTA JOY DANIELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CFY-SLP
Contact information
Practice address
407 CARSON ST, HOT SPRINGS, AR 71901-6852
(501) 624-6468
Mailing address
284 WATSON ST, HAMPTON, AR 71744-9505
(870) 814-6950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8599
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194585721
—
AR
Enumeration date
01/10/2013
Last updated
01/10/2013
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