NPI 1669737979 · live from the CMS NPI Registry
Samantha Dommermuth
Speech-Language Pathologist, in Voorhees, NJ. National Provider Identifier 1669737979, active.
NPI record
| NPI | 1669737979 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 443 Laurel Oak Rd, Voorhees, NJ 08043 |
| Practice phone | 856-309-8508 |
| Mailing address | Po Box 191, Rockland, DE 19732 |
| Enumerated | July 12, 2012 |
| Last updated | May 3, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 41YS00849300 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.