Provider Demographics
NPI:1689904294
Name:SAMUELS, BARBARA (MA)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:SAMUELS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6325 TOPANGA CANYON BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2005
Mailing Address - Country:US
Mailing Address - Phone:818-883-1381
Mailing Address - Fax:818-340-1088
Practice Address - Street 1:6325 TOPANGA CANYON BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2005
Practice Address - Country:US
Practice Address - Phone:818-883-1381
Practice Address - Fax:818-340-1088
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-04
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP419235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist