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)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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