| Doctor Name: | MS. SAMANTHA LYNN WEATHERFORD |
| NPI Number: | 1538417555 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CF-SLP |
| License Number: | O4-0000352 |
| Business Practice Address: | 61 Corporate Cir New Castle, DE - 197202439 |
| Business Phone Number: | 3023244444 |
| Business Fax Number: | |
| Mailing Address: | 819 N Harrison St, Apt 4 WILMINGTON |
| State: | DE |
| Postal Code: | 198064648 |
| Phone Number: | 6363951099 |
| Fax Number: | |
| NPI Enumeration Date: | 08/23/2012 |
| NPI Last Update Date: | 08/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | O4-0000352 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |