Provider Demographics
NPI:1851758932
Name:SAMSELL, AMANDA CHRISTY (MA, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:CHRISTY
Last Name:SAMSELL
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 WHISPERING PINE DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-6727
Mailing Address - Country:US
Mailing Address - Phone:570-878-5157
Mailing Address - Fax:
Practice Address - Street 1:188 WHISPERING PINE DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-6727
Practice Address - Country:US
Practice Address - Phone:570-878-5157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL012234235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist