Individual
MRS. SAMANTHA RATLIFF WAMPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
103 NORTH ST, SUITE B BRISTOL REGIONAL SPEECH & HEARING CENTER, BRISTOL, VA 24201-3201
(276) 669-6331
(276) 669-2950
Mailing address
500 CLUB POINTE DR, BLOUNTVILLE, TN 37617-5572
(423) 323-5557
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004328
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137815
ANTHEM
—
Enumeration date
08/04/2006
Last updated
07/08/2007
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