Samantha Bowden, SLP-CCC

Individual provider Active NPI Speech-Language Pathologist · Jamestown, TN

NPI 1891119954 · NPPES record last updated Feb 10, 2014

Key facts

NPI
1891119954
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
5176 (TN)
Practice address
1011 Old Lee Hwy 127 S.
Jamestown, TN 38556
Phone
(423) 622-1551
Fax
(877) 856-7133
NPI assigned
Feb 10, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Fentress County Board of Education Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5176 TN Yes

Addresses

Primary practice location

1011 Old Lee Hwy 127 S.
Jamestown, TN 38556

Mailing address

PO Box 8114
Chattanooga, TN 37414-0114
Phone (423) 622-1551

Other providers in Jamestown, TN

All providers in Jamestown, TN · Speech-Language Pathologist in Tennessee

Sources for this page

Verify at the official NPI Registry.