Samantha Beall, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Neosho, MO
NPI 1942801352 · NPPES record last updated Nov 3, 2020
Key facts
- NPI
- 1942801352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2019020953 (MO)
- Practice address
- 418 Fairground Rd
Neosho, MO 64850-1626 - Phone
- (417) 451-8600
- NPI assigned
- Nov 3, 2020
- 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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019020953 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2019020953 | MO | Yes |
Addresses
Primary practice location
418 Fairground Rd
Neosho, MO 64850-1626
Mailing address
418 Fairground Rd
Neosho, MO 64850-1626
Phone (417) 451-8600
Other providers in Neosho, MO
- Melanie Susan Akuna
- Tyler Wayne Allen
- Crystal Antwiler
- Grace Bailey
- Larry G Barnes
- Cameron Belmore
- Charles Henry Bentlage
- Kimberly A. Benton
- Matthew P. Benton
- Big Tree Medical Neosho
All providers in Neosho, 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 Nov 3, 2020. 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.