Individual
MRS. ANDREA DAVIS-KRISSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
34 FONTAINE DR, CLARKSVILLE, AR 72830-3928
(479) 647-0680
Mailing address
34 FONTAINE DR, CLARKSVILLE, AR 72830-3928
(870) 642-6449
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1729
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142879721
—
AR
Enumeration date
08/14/2007
Last updated
03/13/2024
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