Provider Demographics
NPI:1144749201
Name:GLOSSER, SAMANTHA FAYE (SLP, MS)
Entity Type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:FAYE
Last Name:GLOSSER
Suffix:
Gender:F
Credentials:SLP, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 DEPAUW BLVD STE 3070
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-6135
Mailing Address - Country:US
Mailing Address - Phone:855-324-0885
Mailing Address - Fax:317-520-8200
Practice Address - Street 1:6555 W COLFAX AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-1803
Practice Address - Country:US
Practice Address - Phone:720-571-9567
Practice Address - Fax:317-520-8200
Is Sole Proprietor?:No
Enumeration Date:2017-09-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist