Individual
SAMANTHA OCCHIPINTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
525 BROOKMAN DR, BROOKHAVEN, MS 39601-2326
(601) 833-2330
Mailing address
525 BROOKMAN DR, BROOKHAVEN, MS 39601-2326
(601) 833-2330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S3824
MS STATE DEPARTMENT OF HEALTH
MS
Enumeration date
04/21/2020
Last updated
04/21/2020
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