Individual
MRS. DONNA SUSAN RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P., CCC-SLP
Contact information
Practice address
1866 S HWY 77, OSCEOLA, AR 72370
(870) 531-2318
Mailing address
1866 S HWY 77, OSCEOLA, AR 72370
(870) 531-2318
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#529
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125633721
—
AR
Enumeration date
01/10/2011
Last updated
01/10/2011
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