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Individual

DR. SAMUEL BROUD HESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
260 SOUTHWEST DR, JONESBORO, AR 72401-5829
(870) 932-1707
(870) 932-1707
Mailing address
260 SOUTHWEST DR, JONESBORO, AR 72401-5829
(870) 932-1707
(870) 932-1707

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
81-4P
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
56233
BC/BS #
AR
01
81-4P
STATE LICENSE #
AR
Enumeration date
07/26/2006
Last updated
07/09/2007
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