Provider Demographics
NPI:1760787436
Name:DANLEY, JESSICA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:DANLEY
Suffix:
Gender:F
Credentials:MS, 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:SPEECH AND HEARING CLINIC
Mailing Address - Street 2:606 N RAZORBACK ROAD
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72701-3439
Mailing Address - Country:US
Mailing Address - Phone:479-575-4509
Mailing Address - Fax:479-575-4507
Practice Address - Street 1:UNIVERSITY OF ARKANSAS SPEECH AND HEARING CLINIC
Practice Address - Street 2:606 NORTH RAZORBACK ROAD
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72701
Practice Address - Country:US
Practice Address - Phone:479-575-4509
Practice Address - Fax:479-575-4507
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-11
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105402235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist