Provider Demographics
NPI:1548475882
Name:DUNLAP, D'LORAH LEE (MSE CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:D'LORAH
Middle Name:LEE
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:MSE CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 32 BOX 113
Mailing Address - Street 2:
Mailing Address - City:HASTY
Mailing Address - State:AR
Mailing Address - Zip Code:72640-9705
Mailing Address - Country:US
Mailing Address - Phone:870-429-6814
Mailing Address - Fax:
Practice Address - Street 1:HC 32 BOX 113
Practice Address - Street 2:
Practice Address - City:HASTY
Practice Address - State:AR
Practice Address - Zip Code:72640-9705
Practice Address - Country:US
Practice Address - Phone:870-429-6814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR514235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist