Provider Demographics
NPI:1740584358
Name:ARMSTRONG, DONNA CUNNINGHAM (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:CUNNINGHAM
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12244 WATALULA ROAD
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:AR
Mailing Address - Zip Code:72949-9248
Mailing Address - Country:US
Mailing Address - Phone:479-667-7298
Mailing Address - Fax:
Practice Address - Street 1:322 NORTH GREENWOOD
Practice Address - Street 2:RAMEY SPEECH CLINIC
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72901
Practice Address - Country:US
Practice Address - Phone:479-782-9600
Practice Address - Fax:479-782-1555
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-23
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#2923235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist