Samantha Lee Babineau
Individual provider Active NPI Speech-Language Assistant · Hanover, MA
NPI 1962019497 · NPPES record last updated Oct 12, 2022
Key facts
- NPI
- 1962019497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- 2295 (MA)
- Practice address
- 405 Washington St
Hanover, MA 02339-3212 - Phone
- (781) 826-6371
- NPI assigned
- Sep 29, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 2295 | MA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puddingstone Place, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Speech-Language Assistant | 2355S0801X | 2295 | MA | Yes |
Addresses
Primary practice location
405 Washington St
Hanover, MA 02339-3212
Mailing address
42 Noble Rd
Rochester, MA 02770-1336
Phone (774) 473-0656
Other providers in Hanover, MA
- Anne M Thompson LLC
- Adrien Asaff
- Atlantic Primary Care, PC
- Dominique Marie Atwood
- Susan J Avedissian
- Victoria Leigh Baczek
- Maureen Baker
- Angelo John Balsamo
- Lawrence William Bandoni
- Kristen L. Barletta
All providers in Hanover, MA · Speech-Language Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2022. 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.