Individual
MR. SAMANTHA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD
Contact information
Practice address
2208 FOWLER AVE STE C, JONESBORO, AR 72401-6187
(870) 931-0808
Mailing address
5408 CORDOVA LN, JONESBORO, AR 72404-7819
(870) 219-0566
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2338
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y357
BLUE CROSS & BLUE SHIELD
AR
Enumeration date
12/04/2006
Last updated
07/09/2007
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