Molly Samson, M.ED.
Individual provider Active NPI Speech-Language Pathologist · Kittery Point, ME
NPI 1255659652 · NPPES record last updated May 10, 2010
Key facts
- NPI
- 1255659652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- #0100 (NH)
- Practice address
- 47 Seapoint Rd
Kittery Point, ME 03905-5212 - Phone
- (603) 661-5323
- NPI assigned
- May 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #0100 | NH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | #0100 | NH | Yes |
Addresses
Primary practice location
47 Seapoint Rd
Kittery Point, ME 03905-5212
Mailing address
47 Seapoint Rd
Kittery Point, ME 03905-5212
Phone (603) 661-5323
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30003400 | Medicaid | NH |
Other providers in Kittery Point, ME
- Peter Enzinger
- Megan Elizabeth Golightly
- Michelle Hawkins
- Maine Ascent Physical Therapy & Wellness
- Kyle McIntosh
- Telerad of Me Account Management, LLC
All providers in Kittery Point, ME · Speech-Language Pathologist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2010. 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.