Organization
DONNA M EDGMON SPEECH PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA M EDGMON MA (SPEECH PATHOLOGIST)
(479) 751-5504
Entity
Organization
Contact information
Practice address
2700 AMERICAN ST, SPRINGDALE, AR 72764-6937
(479) 751-5504
(479) 751-6446
Mailing address
2700 AMERICAN ST, SPRINGDALE, AR 72764-6937
(479) 751-5504
(479) 751-6446
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C075
BC/BS GROUP ID
AR
Enumeration date
08/31/2006
Last updated
08/22/2020
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