Provider Demographics
NPI:1902182256
Name:DULLI, ALLISUN KAY (MS CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:ALLISUN
Middle Name:KAY
Last Name:DULLI
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 N DELTA DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:AR
Mailing Address - Zip Code:72364-2675
Mailing Address - Country:US
Mailing Address - Phone:870-733-4467
Mailing Address - Fax:870-732-8588
Practice Address - Street 1:608 N DELTA DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:AR
Practice Address - Zip Code:72364-2675
Practice Address - Country:US
Practice Address - Phone:870-733-4467
Practice Address - Fax:870-732-8588
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2013712355S0801X
AR234231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant