Individual
MRS. KERRY ANN DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
505 E MATTHEWS AVE, JONESBORO, AR 72401-3144
(870) 932-9567
(870) 932-9576
Mailing address
3312 SAINT ANDREWS CV, JONESBORO, AR 72401-8023
(870) 910-6823
(870) 931-7103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
925
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300601
HOME HEALTH PROVIDER #
AR
Enumeration date
03/19/2007
Last updated
07/09/2007
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