Individual
SAMANTHA VOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CF-SLP
Contact information
Practice address
12052 N SHORE DR, RESTON, VA 20190-4969
(703) 834-9800
Mailing address
5863 HASSMAN CT, MASON, OH 45040-1257
(513) 328-5993
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000731
VA
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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