Individual
MRS. DEANNA L. MCGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
200 NW 4TH ST, BRYANT, AR 72022-3424
(501) 847-5600
Mailing address
203 DOGWOOD, BENTON, AR 72019-6109
(501) 909-1310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12083786
AR
235Z00000X
Speech-Language Pathologist
P7923
AR
235Z00000X
Speech-Language Pathologist
Primary
SP2331
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157384721
—
AR
01
—
5Y614
BLUE CROSS & BLUE SHEILD
AR
Enumeration date
01/04/2007
Last updated
09/18/2020
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