Individual
MRS. FORREST DAYANNE UTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC -SLP
Contact information
Practice address
390 COUNTY ROAD 372, WYNNE, AR 72396-8552
(870) 238-6550
Mailing address
390 COUNTY ROAD 372, WYNNE, AR 72396-8552
(870) 238-6550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#861
AR
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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