Provider Demographics
NPI:1225698020
Name:SAMPSON, SAVANNAH ANNE (AUD)
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:ANNE
Last Name:SAMPSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8442 WOOD MANOR CV
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-2031
Mailing Address - Country:US
Mailing Address - Phone:901-870-7264
Mailing Address - Fax:
Practice Address - Street 1:2415 7TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-3317
Practice Address - Country:US
Practice Address - Phone:259-933-8101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist