Individual
MRS. LAURIE HANSON DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2414 LAVENDER LN, TEXARKANA, AR 71854-3330
(903) 733-5829
(903) 733-5829
Mailing address
2414 LAVENDER LN, TEXARKANA, AR 71854-3330
(903) 733-5829
(870) 779-8688
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
101814
TX
235Z00000X
Speech-Language Pathologist
Primary
SP#2245
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021289601
—
TX
05
—
157520721
—
AR
01
—
5Y289
AR BCBS
AR
01
—
8T3906
TX BCBS
TX
Enumeration date
11/09/2006
Last updated
08/27/2009
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