Individual
MRS. DONNA K. BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
4400 SHUFFIELD DR, LITTLE ROCK, AR 72205-7100
(501) 686-9300
(501) 686-9581
Mailing address
11200 CHARLOTTE DR, MABELVALE, AR 72103-3168
(501) 686-9300
(501) 686-9581
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
549-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5S144
MEDICARE ID - TYPE UNSPECIFIED
AR
Enumeration date
11/01/2006
Last updated
11/13/2009
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