Individual
SAMANTHA FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 SPRING PL, MORRISTOWN, NJ 07960-3947
(862) 701-9163
Mailing address
23 LISA LN, BRISTOL, RI 02809-4562
(401) 824-9660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00989400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00989400
SPEECH LANGUAGE PATHOLOGIST
NJ
Enumeration date
06/23/2019
Last updated
06/23/2019
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