Individual
STACY BETH SAMPLE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD CCC-SLP
Contact information
Practice address
19251 GREENFIELD RD, HARRISBURG, AR 72432-9398
(870) 578-6118
Mailing address
505 SCOTCHPINE DR, JONESBORO, AR 72404-9087
(870) 578-6118
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1873
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145147721
—
AR
Enumeration date
05/21/2008
Last updated
07/08/2024
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