Provider Demographics
NPI:1295796860
Name:SCHINDLE, SAMANTHA ELIZABETH (MS, CCC -SLP)
Entity type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:ELIZABETH
Last Name:SCHINDLE
Suffix:
Gender:F
Credentials:MS, CCC -SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 MOUNT BAKER HWY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226
Mailing Address - Country:US
Mailing Address - Phone:360-756-1495
Mailing Address - Fax:360-756-8868
Practice Address - Street 1:1145 MOUNT BAKER HWY
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226
Practice Address - Country:US
Practice Address - Phone:360-756-1495
Practice Address - Fax:360-756-8868
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2007-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2775154235Z00000X
WALL00004636235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist