Individual
NIRMAL K SAMANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, CCC-SLP
Contact information
Practice address
500 CARLSON PKWY, MINNETONKA, MN 55305-5304
(877) 407-3422
Mailing address
250 BRANDY LN, CAPE GIRARDEAU, MO 63701-8443
(573) 450-3393
(573) 339-0911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004016682
MO
235Z00000X
Speech-Language Pathologist
3531
KY
Other
Enumeration date
11/28/2012
Last updated
12/30/2024
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