Individual
SAMANTHA BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
418 FAIRGROUND RD, NEOSHO, MO 64850-1626
(417) 451-8600
Mailing address
418 FAIRGROUND RD, NEOSHO, MO 64850-1626
(417) 451-8600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019020953
MO
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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