Edgmon, Donna Mansueto

Edgmon, Donna Mansueto is an sole proprietor health care provider with primary practice located at 2700 American St , Springdale AR 72764-6937. 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. Edgmon, Donna Mansueto can be contacted via phone (479) 751-5504.

Contact Information

Primary practice address
2700 American St Springdale AR 72764-6937
Phone: (479) 751-5504
Fax: (479) 751-6446
Website:
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Health care specialties

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

Profile Details

NPI number 1124085931
LBN Legal business name Edgmon, Donna Mansueto
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Jul 9th, 2007 - about 19 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 1124085931 NPPES
Arkansas Other 56124 BLUE CROSS BLUE SHEILD

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