Individual
MS. DIANA SAMALOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
527 NW CASHMERE BLVD, UNIT 103, PORT SAINT LUCIE, FL 34986-1959
(772) 204-9822
(772) 336-9932
Mailing address
766 NW BAYSHORE BLVD, PORT SAINT LUCIE, FL 34983-1007
(772) 879-0713
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA177
FL
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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