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NPI Code Detail

MEDICARE: SAMANTHA SANTIAGUEL MS, CF-SLP

MEDICARE:   SAMANTHA  SANTIAGUEL  MS, CF-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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1770295214
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA SANTIAGUEL MS, CF-SLP
Provider Business Mailing Address
First Line : PO BOX 412307
Second Line :
City : BOSTON
State : MA
Zip : 02241-2307
Country : US
Telephone Number : 888-830-4125
Fax Number :
Provider Business Practice Location Address
First Line : 1628 LASKIN RD STE 706
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-7504
Country : US
Telephone Number : 757-481-1099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2022
Last Update Date : 12/15/2022

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Directions to “ SAMANTHA SANTIAGUEL MS, CF-SLP” Practice Location

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