Provider Demographics
NPI:1508357955
Name:RICH, SAMANTHA JAYNE (MA)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:JAYNE
Last Name:RICH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:JAYNE
Other - Last Name:THORPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10005 W RICHLAND RD
Mailing Address - Street 2:
Mailing Address - City:CHENEY
Mailing Address - State:WA
Mailing Address - Zip Code:99004-8653
Mailing Address - Country:US
Mailing Address - Phone:425-577-3844
Mailing Address - Fax:
Practice Address - Street 1:513 1ST ST
Practice Address - Street 2:
Practice Address - City:CHENEY
Practice Address - State:WA
Practice Address - Zip Code:99004-1651
Practice Address - Country:US
Practice Address - Phone:702-577-1119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-22
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner