Provider Demographics
NPI:1801373899
Name:LEMOND, SAMANTHA MARGARET (MSCCC-SLP)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:MARGARET
Last Name:LEMOND
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:MARGARET
Other - Last Name:LUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6157 AIRPORT BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-3147
Mailing Address - Country:US
Mailing Address - Phone:251-287-0378
Mailing Address - Fax:251-287-0466
Practice Address - Street 1:6157 AIRPORT BLVD STE 205
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-3147
Practice Address - Country:US
Practice Address - Phone:251-287-0378
Practice Address - Fax:251-287-0466
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3671235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist