Samantha Allen
Individual provider Active NPI Speech-Language Pathologist · Kahoka, MO
NPI 1376953554 · NPPES record last updated Feb 22, 2016
Key facts
- NPI
- 1376953554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2013027618 (MO)
- Practice address
- 566 E Commercial St
Kahoka, MO 63445 - Phone
- (660) 727-3327
- NPI assigned
- Apr 28, 2014
- 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 |
|---|---|---|---|
| 2013027618 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2013027618 | MO | Yes |
Addresses
Primary practice location
566 E Commercial St
Kahoka, MO 63445
Mailing address
566 E Commercial St
Kahoka, MO 63445
Other providers in Kahoka, MO
- Deana Lynn Ball
- Lynne Barbour
- Blessing Corporate Services, Inc
- Blessing Hospital
- Jessica Dianne Boudreau
All providers in Kahoka, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2016. 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.