Individual
SAMANTHA MAE HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
179 BEAR HILL RD STE 105, WALTHAM, MA 02451-1063
(781) 895-9500
(781) 895-4800
Mailing address
169 LAKE SHORE RD APT 2, BRIGHTON, MA 02135-6347
(781) 895-9500
(781) 895-4800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100469
MA
235Z00000X
Speech-Language Pathologist
117746
TX
Other
Enumeration date
01/13/2021
Last updated
09/01/2023
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