Doctor Name: | SAMARA SHALOM |
NPI Number: | 1679874507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SP#P8390 |
Business Practice Address: | 1498 Reisterstown Rd 339 Pikesville, MD - 212083817 |
Business Phone Number: | 6189749818 |
Business Fax Number: | |
Mailing Address: | 1498 Reisterstown Rd, 339 PIKESVILLE |
State: | MD |
Postal Code: | 212083817 |
Phone Number: | 6189749818 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2010 |
NPI Last Update Date: | 01/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#P8390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |