Provider Demographics
NPI:1104137272
Name:REED, SAMANTHA MARTIN (MS, CF, SLP)
Entity type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:MARTIN
Last Name:REED
Suffix:
Gender:F
Credentials:MS, CF, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109A VISTA OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-8230
Mailing Address - Country:US
Mailing Address - Phone:803-356-9833
Mailing Address - Fax:803-996-0548
Practice Address - Street 1:109A VISTA OAKS DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-8230
Practice Address - Country:US
Practice Address - Phone:803-356-9833
Practice Address - Fax:803-996-0548
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4668235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist