| Mary Samples, | |
| 904 King Ave, Portageville, MO 63873-1378 | |
| (573) 379-5706 | |
| (573) 379-5873 | 
| Full Name | Mary Samples | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 904 King Ave, Portageville, Missouri | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902910300 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2057 (Arkansas) | Secondary | 
| 235Z00000X | Speech-language Pathologist | 107513 (Missouri) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mary Samples, 1680 Hwy 61, Portageville, MO 63873 Ph: (573) 379-0357 | Mary Samples, 904 King Ave, Portageville, MO 63873-1378 Ph: (573) 379-5706 | 
| Lee Kellams, MSP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 W 5th St, Portageville, MO 63873 Phone: 214-529-4898 | |
| Courtney Mcveigh, MA SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 E 1st St, Portageville, MO 63873 Phone: 573-379-2833 | |
| Mrs. Mindy Leigh French, MCD CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 W 12th St, Portageville, MO 63873 Phone: 573-931-3302 |