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Samantha Marie Blackler, M.S.

Speech-Language Pathologist, in Placentia, CA. Individual provider (NPI-1).

NPI number1912200437
StatusActive
Last updated in NPPESDec 6, 2010

Details

NPI
1912200437
Entity type
Individual (NPI-1)
Name
Samantha Marie Blackler
Credential
M.S.
Sex
Female
Sole proprietor
No
Enumeration date
Dec 6, 2010
Last updated
Dec 6, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,6741CAYes

Practice location

740 S Placentia Ave
Suite 100
Placentia, CA 92870-6832

Phone 714-646-8318

Mailing address

740 S Placentia Ave
Suite 100
Placentia, CA 92870-6832

Phone 714-646-8318

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