Provider Demographics
NPI:1568991891
Name:ASHER, SAMANTHA RAE
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:RAE
Last Name:ASHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 N HOPE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-1659
Mailing Address - Country:US
Mailing Address - Phone:609-707-4766
Mailing Address - Fax:
Practice Address - Street 1:1114 N HOPE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-1659
Practice Address - Country:US
Practice Address - Phone:609-239-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2020-08-27
Deactivation Date:2020-07-22
Deactivation Code:
Reactivation Date:2020-07-29
Provider Licenses
StateLicense IDTaxonomies
NJ41YS0094110235Z00000X
PASL14140235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist