Provider Demographics
NPI:1114173739
Name:HUTTON, JONI CROOM (MSP CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:JONI
Middle Name:CROOM
Last Name:HUTTON
Suffix:
Gender:F
Credentials:MSP CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 NEAL RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:AR
Mailing Address - Zip Code:72364-9595
Mailing Address - Country:US
Mailing Address - Phone:870-739-1133
Mailing Address - Fax:870-732-2238
Practice Address - Street 1:1606 PINE GROVE LN
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:AR
Practice Address - Zip Code:72432-9304
Practice Address - Country:US
Practice Address - Phone:870-578-5426
Practice Address - Fax:870-578-6005
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR542235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist