Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Samples

Individual provider Speech-Language Pathologist · NPI 1902910300

Mary Samples is a Speech-Language Pathologist in Portageville, Missouri. Practices as a sole proprietor. Licensed in Arkansas and Missouri.

Licensed in
AR, MO
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

904 King Ave
Portageville, MO 63873-1378
Phone: (573) 379-5706
Fax: (573) 379-5873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 107513 (MO)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 2057 (AR)

Record details

NPI number1902910300
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 19, 2006
Last updated in NPPESOctober 29, 2009

Other providers in Portageville