Individual
MS. SAMANTHA SEWELL SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
317 OAK ST STE 3, CONWAY, AR 72032-5679
(501) 358-6396
(501) 588-0484
Mailing address
317 OAK ST STE 3, CONWAY, AR 72032-5679
(501) 291-3091
(501) 588-0484
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
15-11P
AR
Other
Enumeration date
12/05/2008
Last updated
08/15/2024
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