Individual
SAMANTHA PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3101 BROADWAY BLVD, KANSAS CITY, MO 64111-2659
(816) 960-4031
Mailing address
2445 W PARK ST, OLATHE, KS 66061-3893
(620) 899-3096
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4526
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023043463
MO LICENSE
MO
01
—
4526
KS LICENSE
KS
Enumeration date
10/09/2023
Last updated
11/12/2023
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