National Provider Identifier
Samantha Didrichsen
Samantha Didrichsen is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency in Buffalo, NY and a listed phone number of (631) 827-4949.
Profile Overview
- NPI
- 1447708839
- Provider Type
- Individual
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- September 14, 2016
- Last Updated
- February 02, 2021
Practice Location
- 675 Delaware Ave Apt 908
- Buffalo, NY 14209-2237
Phone: (631) 827-4949
Mailing Address
- 2029 W Pennsylvania St
- Allentown, PA 18104-3023
Specialties
- Early Intervention Provider Agency (252Y00000X)
Full Record
- NPI
- 1447708839
- Entity Type
- Individual
- Last Name
- Didrichsen
- First Name
- Samantha
- Mailing Street Address
- 2029 W Pennsylvania St
- Mailing City
- Allentown
- Mailing State
- PA
- Mailing ZIP Code
- 18104-3023
- Mailing Country
- US
- Practice Street Address
- 675 Delaware Ave Apt 908
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-2237
- Practice Country
- US
- Practice Phone
- (631) 827-4949
- Enumeration Date
- September 14, 2016
- Last Updated
- February 02, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 02, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Early Intervention Provider Agency (252Y00000X)