MEDICARE: SAMANTHA LITWIN

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	103TS0200X	School Psychologist

General Provider Information

NPI Number	:	1548107428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA LITWIN

Provider Business Mailing Address
First Line	:	5490 MILLS CREEK LN
Second Line	:
City	:	NORTH RIDGEVILLE
State	:	OH
Zip	:	44039-2339
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5490 MILLS CREEK LN
Second Line	:
City	:	NORTH RIDGEVILLE
State	:	OH
Zip	:	44039-2339
Country	:	US
Telephone Number	:	216-667-9158
Fax Number	:

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

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	05/06/2026

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