Provider Demographics
NPI:1093898033
Name:ELANDARY, SAMANTHA (SP)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:ELANDARY
Suffix:
Gender:F
Credentials:SP
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:
Other - Last Name:SIGNAIGN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SP
Mailing Address - Street 1:7941 FALLMEADOW LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-5329
Mailing Address - Country:US
Mailing Address - Phone:972-437-2048
Mailing Address - Fax:972-480-8514
Practice Address - Street 1:2035 PROMENADE CTR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-5437
Practice Address - Country:US
Practice Address - Phone:972-437-2048
Practice Address - Fax:972-480-8514
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist