Healthcare Provider Details

I. General information

NPI: 1821129271
Provider Name (Legal Business Name): ANGELA JOINER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 03/19/2024
Certification Date: 03/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

456 BRODRICK ST
HOT SPRINGS AR
71901
US

IV. Provider business mailing address

16 SUMMERWOOD DR
MAGNOLIA AR
71753-8442
US

V. Phone/Fax

Practice location:
  • Phone: 501-701-4348
  • Fax:
Mailing address:
  • Phone: 870-904-9408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7953
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: