Individual
DESTINY D NEWBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
44 BRADFORD DR, LITTLE ROCK, AR 72227-5641
(479) 459-9640
Mailing address
44 BRADFORD DR, LITTLE ROCK, AR 72227-5641
(479) 459-9640
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
120401
TX
235Z00000X
Speech-Language Pathologist
Primary
202819
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120085901
—
TX
Enumeration date
11/02/2022
Last updated
08/18/2025
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