Individual
SAMANTHA EMILY HERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2282 HAMBURG TPKE STE A, WAYNE, NJ 07470-6291
(973) 800-4050
Mailing address
71 PASSAIC VALLEY RD, MONTVILLE, NJ 07045-9677
(973) 897-7685
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00937900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00937900
STATE LICENSE
NJ
Enumeration date
06/16/2018
Last updated
01/30/2022
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