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NPI Code Detail

MEDICARE: MRS. JONI CROOM HUTTON M.S.P. CCC/SLP

MEDICARE: MRS. JONI CROOM HUTTON M.S.P. CCC/SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist542AR

General Provider Information

NPI Number : 1114173739
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JONI CROOM HUTTON M.S.P. CCC/SLP
Provider Business Mailing Address
First Line : 484 NEAL RD
Second Line :
City : MARION
State : AR
Zip : 72364-9595
Country : US
Telephone Number : 870-739-1133
Fax Number : 870-732-2238
Provider Business Practice Location Address
First Line : 1606 PINE GROVE LN
Second Line :
City : HARRISBURG
State : AR
Zip : 72432-9304
Country : US
Telephone Number : 870-578-5426
Fax Number : 870-578-6005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2008
Last Update Date : 08/14/2008

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Directions to “ MRS. JONI CROOM HUTTON M.S.P. CCC/SLP” Practice Location

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