Individual
SAMANTHA BETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14201 SCHOOL LN, UPPER MARLBORO, MD 20772-2866
(301) 952-6000
Mailing address
14201 SCHOOL LN, UPPER MARLBORO, MD 20772-2866
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08934
MD
235Z00000X
Speech-Language Pathologist
O1-0001633
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
O1-0001633
STATE LICENSE
DE
Enumeration date
11/03/2017
Last updated
02/24/2023
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