SAMANTHA LEE THEBEAULT M.S., CF-SLP - NPI 1336504836 - Student in an Organized Health Care Education/Training Program in Brockton, MA

Q: What is Samantha Thebeault's NPI number?

The NPI number for Samantha Thebeault is 1336504836. It was assigned to this individual provider in the NPPES registry on December 28, 2015.

Q: What is Samantha Thebeault's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Samantha Lee Thebeault M.s., Cf-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA LEE THEBEAULT M.S., CF-SLP (NPI 1336504836) is an individual student in an organized health care education/training program in Brockton, Massachusetts and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1336504836

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSAMANTHA LEE THEBEAULTCredential: M.S., CF-SLP

Location Address888 N MAIN STBrockton, MA 02301-1668

Mailing Address888 N Main StBrockton, MA 02301-1668 · (508) 587-6556

Phone(508) 587-6556

Sole ProprietorYes

Enumeration DateDecember 28, 2015

✔ NPI 1336504836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

888 N MAIN ST, Brockton, MA 02301

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELISABETH GARDNER MS, OTR/L

Occupational Therapist