| Doctor Name: | NIRMAL K SAMANTA |
| NPI Number: | 1730424029 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD, CCC-SLP |
| License Number: | 3531 |
| Business Practice Address: | 250 Brandy Ln Cape Girardeau, MO - 637018443 |
| Business Phone Number: | 5734503393 |
| Business Fax Number: | 5733390911 |
| Mailing Address: | 250 Brandy Ln, CAPE GIRARDEAU |
| State: | MO |
| Postal Code: | 637018443 |
| Phone Number: | 5734503393 |
| Fax Number: | 5733390911 |
| NPI Enumeration Date: | 11/28/2012 |
| NPI Last Update Date: | 04/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3531 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| 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 |