Samantha Crook, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Silsbee, TX

NPI 1326528829 · NPPES record last updated Jul 29, 2022

Key facts

NPI
1326528829
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
111390 (TX)
Practice address
104 Rainbow Cir
Silsbee, TX 77656-3112
Phone
(409) 239-8348
NPI assigned
Aug 15, 2018
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)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
111390TXMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 111390 TX Yes

Addresses

Primary practice location

104 Rainbow Cir
Silsbee, TX 77656-3112

Mailing address

104 Rainbow Cir
Silsbee, TX 77656-3112
Phone (409) 239-8348

Other practice location 1

102 N Beech St
Woodville, TX 75979-4718
Phone (409) 283-2555

Other practice location 2

1105 Highway 418 W
Silsbee, TX 77656-3411
Phone (409) 385-3784

Other practice location 3

104 Rainbow Cir
Silsbee, TX 77656-3112
Phone (409) 239-8348

Other providers in Silsbee, TX

All providers in Silsbee, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.