Healthcare Provider Details

I. General information

NPI: 1184532921
Provider Name (Legal Business Name): SAMANTHA DELMAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 BARRETT RUN DR
NEWARK DE
19702-2949
US

IV. Provider business mailing address

116 SARATOGA LN
SWEDESBORO NJ
08085-4200
US

V. Phone/Fax

Practice location:
  • Phone: 302-454-4700
  • Fax:
Mailing address:
  • Phone: 856-994-2219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number41YS01408600
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberO1-0012614
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: