Individual
MRS. DARLA L MCNEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6924 SR 247, POTTSVILLE, AR 72858-8948
(479) 890-6858
(479) 890-6866
Mailing address
PO DRAWER 2109, RUSSELLVILLE, AR 72811
(479) 967-2322
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1950
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12028545
AMERICAN ST, LANG, ASSOC
AR
05
—
145453721
—
AR
01
—
5Y578
BLUE CROSS ID NUMBER
AR
01
—
SP1950
LICENSE NUMBER
AR
Enumeration date
04/10/2007
Last updated
01/10/2023
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