Individual
MRS. SAMANTHA JANE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
19085 HOLLY COURT TRL, KIRKSVILLE, MO 63501-7361
(660) 785-0253
Mailing address
19085 HOLLY COURT TRL, KIRKSVILLE, MO 63501-7361
(660) 785-0253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006003814
MO
Other
Enumeration date
02/27/2007
Last updated
06/05/2020
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