Individual
SAMANTHA DEE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6205 ATLANTA ST, FORT SMITH, AR 72903-4921
(918) 208-3279
Mailing address
314 S 17TH ST, FORT SMITH, AR 72901-3836
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
201337
AR
235Z00000X
Speech-Language Pathologist
Primary
201408
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201337
—
AR
05
—
6129
—
OK
Enumeration date
02/01/2021
Last updated
03/24/2024
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