Samantha Armstrong
Individual provider Active NPI Speech-Language Pathologist · Forest, VA
NPI 1770103293 · NPPES record last updated Jan 26, 2024
Key facts
- NPI
- 1770103293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202011247 (VA)
- Practice address
- 305 Gristmill Dr
Forest, VA 24551-2627 - Phone
- (434) 385-1074
- NPI assigned
- Apr 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 2202011247 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern New Mexico University | Speech-Language Pathologist | Past |
Accepting new patients |
| Center for Pediatric Therapies, Inc. | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Speech-Language Pathologist | 235Z00000X | 2202011247 | VA | Yes |
Addresses
Primary practice location
305 Gristmill Dr
Forest, VA 24551-2627
Mailing address
305 Gristmill Dr
Forest, VA 24551-2627
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All providers in Forest, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2024. 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.