Individual
SAMANTHA DAVIS GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.,L-SLP-ASSISTANT
Contact information
Practice address
52595 RED HILL RD, INDEPENDENCE, LA 70443-2423
(985) 507-2284
Mailing address
PO BOX 1130, LIVINGSTON, LA 70754-1130
(985) 507-2284
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
8816
LA
235Z00000X
Speech-Language Pathologist
Primary
8816
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264582
—
LA
05
—
8797
—
LA
Enumeration date
08/15/2022
Last updated
05/06/2024
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