Individual
SAMANTHAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 VISTA PL, MOUNT VERNON, NY 10550-2701
(914) 310-4842
Mailing address
105 VISTA PL, MOUNT VERNON, NY 10550-2701
(914) 310-4842
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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