Individual
SAMANTHA DOMMERMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
443 LAUREL OAK RD, VOORHEES, NJ 08043-4419
(856) 309-8508
(856) 309-8556
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00849300
NJ
Other
Enumeration date
07/12/2012
Last updated
05/03/2018
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