Individual
SAMANTHA DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CF-SLP
Contact information
Practice address
5604 VIRGINIA BEACH BLVD BLDG A, VIRGINIA BEACH, VA 23462-5631
(747) 455-5000
Mailing address
163 FAYTON AVE, NORFOLK, VA 23505-4427
(804) 824-7609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204001261
VA
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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