Doctor Name: | MS. BRIE DONELAN |
NPI Number: | 1104105659 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CFY-SLP |
License Number: | |
Business Practice Address: | 500 Se 18th St Ruth Barker Middle School Bentonville, AR - 727127917 |
Business Phone Number: | 4796963300 |
Business Fax Number: | |
Mailing Address: | 3004 S 28th Pl, Apt. 4 ROGERS |
State: | AR |
Postal Code: | 727584993 |
Phone Number: | 8452221107 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2011 |
NPI Last Update Date: | 08/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |