Healthcare Provider Details

I. General information

NPI: 1679696918
Provider Name (Legal Business Name): DARLA L MCNEELY SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6924 SR 247
POTTSVILLE AR
72858-8948
US

IV. Provider business mailing address

PO DRAWER 2109
RUSSELLVILLE AR
72811
US

V. Phone/Fax

Practice location:
  • Phone: 479-890-6858
  • Fax: 479-890-6866
Mailing address:
  • Phone: 479-967-2322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP1950
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: