Provider Demographics
NPI:1093898595
Name:GERBER, SAMANTHA EVE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:EVE
Last Name:GERBER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MS
Other - First Name:SAMANTHA
Other - Middle Name:EVE
Other - Last Name:TUTEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSCCC-SLP
Mailing Address - Street 1:9818 GUNSTON HALL RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-9206
Mailing Address - Country:US
Mailing Address - Phone:540-710-6682
Mailing Address - Fax:
Practice Address - Street 1:2300 CHARLES ST
Practice Address - Street 2:SUITE C
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3346
Practice Address - Country:US
Practice Address - Phone:540-368-1400
Practice Address - Fax:540-368-0055
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202004570235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist