Provider Demographics
NPI:1891888681
Name:CALDWELL, DANA MELINDA (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:MELINDA
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 COLUMBIA ROAD 525
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:AR
Mailing Address - Zip Code:71753-8808
Mailing Address - Country:US
Mailing Address - Phone:870-299-8457
Mailing Address - Fax:
Practice Address - Street 1:1010 N DUDNEY RD
Practice Address - Street 2:SUITE D
Practice Address - City:MAGNOLIA
Practice Address - State:AR
Practice Address - Zip Code:71753-2624
Practice Address - Country:US
Practice Address - Phone:870-299-2001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1531235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist