Individual
VONDA LEE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
806 GLENDALE ST, JONESBORO, AR 72401-4455
(870) 933-9528
Mailing address
5205 KOALA DR, JONESBORO, AR 72404-8836
(870) 802-2670
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1959
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146701724
AR BLUE CROSS BLUE SHIELD
AR
05
—
5W899
—
AR
Enumeration date
02/02/2007
Last updated
07/08/2007
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