Samantha A Byrum
Individual provider Active NPI Speech-Language Pathologist · Wellsburg, WV
NPI 1043082787 · NPPES record last updated Oct 26, 2023
Key facts
- NPI
- 1043082787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- A9M142800217 (WV)
- Practice address
- 29 Bruin Dr
Wellsburg, WV 26070-3064 - Phone
- (304) 527-1410
- NPI assigned
- Oct 26, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A9M142800217 | WV | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | A9M142800217 | WV | Yes |
Addresses
Primary practice location
29 Bruin Dr
Wellsburg, WV 26070-3064
Mailing address
29 Bruin Dr
Wellsburg, WV 26070-3064
Phone (304) 527-1410
Other providers in Wellsburg, WV
- Brooke County Commission
- Brooke County Health Department
- Brooke County Health Department
- Brooke County Health Department
- Amy Elizabeth Butts
- Kimberly Caldwell
- Chelsea M Camerlengo
- Casondra Gail Camilletti
- Elissa Michelle Caprini
- Kimberly S. Castellucci
All providers in Wellsburg, WV · Speech-Language Pathologist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.