Godfrey, Samantha Lynn

Godfrey, Samantha Lynn is an individual health care provider with primary practice located at 2555 County Road E E # 102 , White Bear Lake MN 55110-4906. 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. Godfrey, Samantha Lynn can be contacted via phone (651) 683-2953.

Contact Information

Primary practice address
2555 County Road E E # 102 White Bear Lake MN 55110-4906
Phone: (651) 683-2953
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1457833774
LBN Legal business name Godfrey, Samantha Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2018
Last updated Sep 4th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457833774 NPPES
Other 20-8783348 ADVANCE SPEECH THERAPY, LLC

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