| Doctor Name: | SAMANTHA RENEE BOWMAN |
| NPI Number: | 1952795726 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AUD |
| License Number: | 2201001582 |
| Business Practice Address: | 895 City Center Blvd Suite 152 Newport News, VA - 236063079 |
| Business Phone Number: | 7575995505 |
| Business Fax Number: | 7575993618 |
| Mailing Address: | 12343 Shadetree Ln, LAUREL |
| State: | MD |
| Postal Code: | 207082839 |
| Phone Number: | 3012377603 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2015 |
| NPI Last Update Date: | 03/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2201001582 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| 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 |