Healthcare Provider Details

I. General information

NPI: 1356279566
Provider Name (Legal Business Name): ANNABELLE DYKES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNABELLE LINDSEY

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 S TREATING PLANT RD
DE QUEEN AR
71832-2909
US

IV. Provider business mailing address

1200 COVINGTON WAY APT 2712
CONWAY AR
72034-0139
US

V. Phone/Fax

Practice location:
  • Phone: 870-584-4311
  • Fax:
Mailing address:
  • Phone: 870-582-3764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: