Individual
JAYCEE CARALINE CREECY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CF-SLP
Contact information
Practice address
1699 RED WOLF BLVD STE H, JONESBORO, AR 72401-5453
(870) 336-0021
Mailing address
1805 EXECUTIVE SQ, JONESBORO, AR 72401-6086
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
AR
235Z00000X
Speech-Language Pathologist
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14382031
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
AR
01
—
934393304
DRIVER'S LICENSES
AR
Enumeration date
06/07/2019
Last updated
01/16/2023
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