Individual
MISS SAMANTHA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
810 WESTWOOD OFFICE PARK, FREDERICKSBURG, VA 22401
(540) 693-6997
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006627
VA
Other
Enumeration date
07/27/2012
Last updated
01/26/2021
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