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Samantha Despain

Speech-Language Pathologist, in Grand Prairie, TX. Individual provider (NPI-1).

NPI number1558032003
StatusActive
Last updated in NPPESSep 24, 2021

Details

NPI
1558032003
Entity type
Individual (NPI-1)
Name
Samantha Despain
Sex
Female
Sole proprietor
No
Enumeration date
Sep 24, 2021
Certification date
Sep 24, 2021
Last updated
Sep 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,117021TXYes

Practice location

2602 S Belt Line Rd
Grand Prairie, TX 75052-5344

Phone 972-237-4000

Mailing address

2602 S Belt Line Rd
Grand Prairie, TX 75052-5344

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