Provider Demographics
NPI:1932535606
Name:VONDRAN, THOMAS SHERRON (MSP, CCC-SL)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:SHERRON
Last Name:VONDRAN
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Gender:M
Credentials:MSP, CCC-SL
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Mailing Address - Street 1:P.O. BOX 70
Mailing Address - Street 2:COTTER PUBLIC SCHOOLS
Mailing Address - City:COTTER
Mailing Address - State:AR
Mailing Address - Zip Code:72626
Mailing Address - Country:US
Mailing Address - Phone:870-435-6060
Mailing Address - Fax:870-435-1300
Practice Address - Street 1:181 MABEL STREET
Practice Address - Street 2:COTTER PUBLIC SCHOOLS
Practice Address - City:COTTER
Practice Address - State:AR
Practice Address - Zip Code:72626
Practice Address - Country:US
Practice Address - Phone:870-435-6060
Practice Address - Fax:870-435-1300
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist