Rudman, Samantha Nicole

Rudman, Samantha Nicole is an individual health care provider with primary practice located at 6508 Deer Pointe Dr Ste 4 , Salisbury MD 21804-1668. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Rudman, Samantha Nicole can be contacted via phone (410) 742-6016.

Contact Information

Primary practice address
6508 Deer Pointe Dr Ste 4 Salisbury MD 21804-1668
Phone: (410) 742-6016
Fax: (410) 742-6014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC15999 Maryland

Profile Details

NPI number 1841855434
LBN Legal business name Rudman, Samantha Nicole
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2019
Last updated Jan 28th, 2025 - about last year

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 1841855434 NPPES
Maryland MEDICAID 483106300

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