MEDICARE: MRS. DONNA LYNNE HELMER M.S., 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
1	235Z00000X	Speech-Language Pathologist	SP #1010	AR

General Provider Information

NPI Number	:	1083736904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DONNA LYNNE HELMER M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	8312 CYPRESS AVE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72908-8177
Country	:	US
Telephone Number	:	479-646-9578
Fax Number	:

Provider Business Practice Location Address
First Line	:	8312 CYPRESS AVE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72908-8177
Country	:	US
Telephone Number	:	479-646-9578
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	04/05/2011

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Directions to “ MRS. DONNA LYNNE HELMER M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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