Doctor Name: | SAMANTHA FITZENRIDER |
NPI Number: | 1679957286 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MM, MA, CCC-SLP |
License Number: | SP.11809 |
Business Practice Address: | 26376 John Rd Olmsted Twp, OH - 441381277 |
Business Phone Number: | 4402357100 |
Business Fax Number: | |
Mailing Address: | 26376 John Rd, OLMSTED TWP |
State: | OH |
Postal Code: | 441381277 |
Phone Number: | 4402357100 |
Fax Number: | |
NPI Enumeration Date: | 07/13/2015 |
NPI Last Update Date: | 07/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP.11809 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |