Davis-Krissman, Andrea

Davis-Krissman, Andrea is an sole proprietor health care provider with primary practice located at 34 Fontaine Dr , Clarksville AR 72830-3928. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Davis-Krissman, Andrea can be contacted via phone (479) 647-0680.

Contact Information

Primary practice address
34 Fontaine Dr Clarksville AR 72830-3928
Phone: (479) 647-0680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1729 Arkansas

Profile Details

NPI number 1538351507
LBN Legal business name Davis-Krissman, Andrea
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2007
Last updated Mar 13th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538351507 NPPES
Arkansas MEDICAID 142879721

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