Yung, Samantha Wagner
Yung, Samantha Wagner is an individual health care provider with primary practice located at 7215 Commons Cir Unit C , Cheyenne WY 82009-2666. She recently has 4 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Specialist/Technologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Yung, Samantha Wagner can be contacted via phone (307) 426-4327.Contact Information
Primary practice address
7215 Commons Cir Unit C
Cheyenne WY 82009-2666
Phone: (307) 426-4327
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | A-1019 | Wyoming |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | A-1019 | Wyoming |
| Speech, Language and Hearing Service Providers / Assistive Technology Practitioner | 231HA2400X | A-1019 | Wyoming |
| Speech, Language and Hearing Service Providers / Specialist/Technologist | 235500000X | A-1019 | Wyoming |
Profile Details
| NPI number | 1780035352 |
|---|---|
| LBN Legal business name | Yung, Samantha Wagner |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2016 |
| Last updated | Nov 16th, 2020 - about 6 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 | 1780035352 | NPPES |
| Wyoming | MEDICAID | 143657100 |
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