Individual
SAMANTHA BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5727 THOUSAND OAKS DR, PARKVILLE, MO 64152-2772
(510) 936-2386
Mailing address
5727 THOUSAND OAKS DR, PARKVILLE, MO 64152-2772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
109045
TX
235Z00000X
Speech-Language Pathologist
Primary
2021037893
MO
235Z00000X
Speech-Language Pathologist
31552
CA
235Z00000X
Speech-Language Pathologist
5031
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360746701
—
TX
Enumeration date
08/12/2016
Last updated
03/18/2024
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