MEDICARE: ELIZABETH ANNE SAMPSON SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP-2050	HI
2	235Z00000X	Speech-Language Pathologist	SLP200001817	DC
3	235Z00000X	Speech-Language Pathologist	09067	MD
4	235Z00000X	Speech-Language Pathologist	2202012215	VA
5	235Z00000X	Speech-Language Pathologist	78685	MA

General Provider Information

NPI Number	:	1043965395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANNE SAMPSON SLP

Provider Business Mailing Address
First Line	:	400 K ST NW APT 1425
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20001-3095
Country	:	US
Telephone Number	:	781-915-9854
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 K ST NW APT 1425
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20001-3095
Country	:	US
Telephone Number	:	781-915-9854
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2022
Last Update Date	:	11/11/2025

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Directions to “ ELIZABETH ANNE SAMPSON SLP” Practice Location

Language	Start Address	Practice Location

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