Individual
SAMANTHA JULIA SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
4285 DEVELOPMENT DRIVE, LANSING, MI 48911
(517) 706-0421
Mailing address
4285 DEVELOPMENT DR., LANSING, MI 48911
(517) 706-0423
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
02/01/2023
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