Individual
SAMANTHA JEAN BERKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2921 FALK RD # 5683, VANCOUVER, WA 98661-5683
(360) 313-2600
Mailing address
11505 NW 30TH CT, VANCOUVER, WA 98685-3481
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61318625
WA
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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