SAMANTHA DIETZEL

BRONX, NY
NPI1992195937
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  023550)
Enumeration Date2015-01-29
Last Update Date2015-01-29
Business Address
-- SAMANTHA DIETZEL CCC-SLP
48 SCHOFIELD ST
BRONX, NY 10464-1530
Phone number: 347-206-9770
Mailing Address
-- SAMANTHA DIETZEL CCC-SLP
48 SCHOFIELD ST
BRONX, NY 10464-1530
Phone number: 347-206-9770
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