Individual
MRS. DONNITA BELL TUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
430 SHACKLEFORD RD, SHERIDAN, AR 72150-7005
(870) 942-1090
Mailing address
430 SHACKLEFORD RD, SHERIDAN, AR 72150-7005
(870) 942-1090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1447
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09134949
ASHA
AR
01
—
1447
STATE LICENSE
AR
Enumeration date
04/26/2007
Last updated
07/08/2007
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