MRS. SAMANTHA WINWARD BODILY SLP
NPI 1952870602
Speech-Language Pathologist in Dayton, ID
- Individual
- Female
- Speech-Language Pathologist
About SAMANTHA BODILY
This page provides the complete NPI Profile along with additional information for Samantha Bodily, a provider established in Dayton, Idaho with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1952870602 assigned on November 2018. The practitioner's primary taxonomy code is 235Z00000X with license number SLP-4383 (ID). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1952870602 Verify this NPI
- Provider Name
- MRS. SAMANTHA WINWARD BODILY SLP
- Other Name
- SAMANTHA WINWARD
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 626 N WESTSIDE HWY DAYTON, ID 83232
- Location Phone
- (208) 747-3764
- Mailing Address
- 626 N WESTSIDE HWY DAYTON, ID 83232
- Mailing Phone
- (208) 747-3764
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-23-2018
- Last Update Date
- 11-10-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- SLP-4383
- License State
- ID
- Taxonomy Description
- The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952870602, enumerated as an "individual" on November 23, 2018.
The provider is located at 626 N WESTSIDE HWY DAYTON, ID 83232 and the phone number is (208) 747-3764.
Speech-Language Pathologist with taxonomy code 235Z00000X.