Individual
SAMANTHA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 LIBBIE MILL EAST BLVD APT 362, RICHMOND, VA 23230-2169
(862) 324-1255
Mailing address
5000 LIBBIE MILL EAST BLVD APT 362, RICHMOND, VA 23230-2169
(862) 324-1255
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202010322
VA
235Z00000X
Speech-Language Pathologist
Primary
SL014340
PA
Other
Enumeration date
06/24/2019
Last updated
06/06/2023
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