Individual
MRS. TONYA POTEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
100 E MATTHEWS AVE STE B, JONESBORO, AR 72401-3130
(870) 930-6372
(870) 930-9336
Mailing address
2015 HARWOOD DR, JONESBORO, AR 72404-9100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 2222
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP 5W442
BCBS
AR
Enumeration date
11/13/2006
Last updated
07/09/2007
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