Individual
MRS. DEANNA L PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.D., CCC-SLP
Contact information
Practice address
221 LINDLEY LN, UAMS-KIDS FIRST NEWPORT, NEWPORT, AR 72112-4954
(870) 523-2124
Mailing address
604 LIVE OAK DR, SEARCY, AR 72143-4530
(501) 230-9995
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP #794
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123431721
—
AR
Enumeration date
02/13/2007
Last updated
01/11/2016
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