National Provider Identifier
Samantha Marie Broad
Samantha Marie Broad is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Lackawanna, NY and a listed phone number of (716) 983-9988.
Profile Overview
- NPI
- 1851639199
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- January 22, 2013
- Last Updated
- November 01, 2013
Practice Location
- 50 Shirley Dr
- Lackawanna, NY 14218-3728
Phone: (716) 983-9988
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1851639199
- Entity Type
- Individual
- Last Name
- Broad
- First Name
- Samantha
- Middle Name
- Marie
- Mailing Street Address
- 50 Shirley Dr
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-3728
- Mailing Country
- US
- Practice Street Address
- 50 Shirley Dr
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-3728
- Practice Country
- US
- Practice Phone
- (716) 983-9988
- Enumeration Date
- January 22, 2013
- Last Updated
- November 01, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)