Samantha Rose Carskadon, M.A., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Galena, OH

NPI 1376919019 · NPPES record last updated Nov 19, 2021

Key facts

NPI
1376919019
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP.11673 (OH)
Practice address
6783 Falling Meadows Dr
Galena, OH 43021-6000
Phone
(740) 657-5650
NPI assigned
Aug 17, 2015
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP.11673OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.11673 OH Yes

Addresses

Primary practice location

6783 Falling Meadows Dr
Galena, OH 43021-6000

Mailing address

4500 Sussex Dr
Upper Arlington, OH 43220-3860
Phone (614) 506-8356

Other providers in Galena, OH

All providers in Galena, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.