Individual
ASHLEY SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 SOUTHWEST DR, JONESBORO, AR 72401-5828
(870) 932-0090
(870) 930-9336
Mailing address
151 SOUTHWEST DR, JONESBORO, AR 72401-5828
(870) 932-0090
(870) 930-9336
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180658721
—
AR
Enumeration date
08/04/2010
Last updated
01/22/2013
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