Individual
MRS. SAMANTHA MICHEAL SACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1000 E FILLMORE AVE, EAU CLAIRE, WI 54701-6539
(715) 852-3577
Mailing address
1000 E FILLMORE AVE, EAU CLAIRE, WI 54701-6539
(715) 852-3577
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
893287
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14448897
ASHA
—
Enumeration date
03/02/2026
Last updated
03/12/2026
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