Individual
SAMANTHA RACHEL SCARDILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2230 LILIHA ST, HONOLULU, HI 96817-1697
(808) 547-6000
Mailing address
2601 NETWORK BLVD STE 102, FRISCO, TX 75034-9092
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1895
HI
235Z00000X
Speech-Language Pathologist
SLP-135
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14282274
ASHA
—
Enumeration date
04/19/2021
Last updated
04/29/2024
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