MEDICARE: MS. SAMANTHA ELIZABETH SCHINDLE MS, CCC -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	2775154	WI
2	235Z00000X	Speech-Language Pathologist	LL00004636	WA

General Provider Information

NPI Number	:	1295796860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SAMANTHA ELIZABETH SCHINDLE MS, CCC -SLP

Provider Business Mailing Address
First Line	:	1145 MOUNT BAKER HWY
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226
Country	:	US
Telephone Number	:	360-756-1495
Fax Number	:	360-756-8868

Provider Business Practice Location Address
First Line	:	1145 MOUNT BAKER HWY
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226
Country	:	US
Telephone Number	:	360-756-1495
Fax Number	:	360-756-8868

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

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	10/27/2007

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