Female

Ms. Samantha S. Short PSYD, LP

Clinical Psychologist in Conway, AR(View on Map)

Full Name

Ms. Samantha Sewell Short PSYD, LP

NPI Number

1144465139

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/05/2008

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Arkansas

License Number

15-11P

Contact
Information

Purpose

Mailing
Location

Address

317 OAK ST STE 3
317 OAK ST STE 3

City

Conway
Conway

State

AR
AR

Postal Code

72032-5679
72032-5679

Country

US
US

Telephone Number

(501) 291-3091
(501) 358-6396

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/15/2024

Provider Address

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