Brush, Samantha
Brush, Samantha is an sole proprietor health care provider with primary practice located at 5447 Woodward Ave , Detroit MI 48202-4009. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brush, Samantha can be contacted via phone (313) 832-1100.Contact Information
Primary practice address
5447 Woodward Ave
Detroit MI 48202-4009
Phone: (313) 832-1100
Fax: (313) 578-4520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1578799607 |
|---|---|
| LBN Legal business name | Brush, Samantha |
| Credentials | MA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2009 |
| Last updated | Jun 3rd, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578799607 | NPPES |
| Other | 09135442 | NATIONAL SPEECH AND LANGUAGE CERTIFICATION |
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