Individual
SANDRA MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
313 HIGHWAY 62 E STE 1, SALEM, AR 72576-9852
(870) 895-2456
Mailing address
313 HIGHWAY 62 E STE 1, SALEM, AR 72576-9852
(870) 895-2456
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
910
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129025721
—
AR
Enumeration date
06/10/2010
Last updated
06/10/2010
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