NPI 1053604769
Susan Rena Davis
Practice location
- Address
- 1371 Highway 278 W, Monticello, AR 71655-9663
- Phone
- (870) 367-2143
- Fax
- (870) 367-2145
- Mailing address
- 5537 Bleaux Ave, Springdale, AR 72762-0737
Registered specialties
Counselor
Primary
Registry record
- NPI
- 1053604769
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 May 2011
- Record last updated
- 27 May 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.