Individual
SAMANTHA WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 PARK AVE NW, NORTON, VA 24273-2114
(276) 525-4460
Mailing address
1246 VIRGINIA AVE NW, NORTON, VA 24273-1731
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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