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Samantha Lee Thebeault, MS,CF-SLP
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1336504836

Samantha Lee Thebeault is a Student in an Organized Health Care Education/Training Program based in Brockton, MA. Samantha Lee Thebeault practices in Brockton, MA and has the professional credentials of MS,CF-SLP. The NPI Number for Samantha Lee Thebeault is 1336504836 and holds a License No. (Massachusetts).

The current practice location address for Samantha Lee Thebeault is 888 N Main St, Brockton, MA and can be reached out via phone at 508-587-6556.

Location: 888 N Main St, Brockton, MA, 02301-1668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336504836
Provider Name
Samantha Lee Thebeault
Credential
MS,CF-SLP
Provider Entity Type
Individual
Gender
Female
Address
888 N Main St, Brockton, MA, 02301-1668
Phone Number
508-587-6556
Fax Number
Provider Enumeration Date
12/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
888 N Main St
City
Brockton
State
Massachusetts
Zip
02301-1668
Phone Number
508-587-6556
Fax Number
person
Provider Business Mailing Address Details
Address
888 N Main St
City
Brockton
State
Massachusetts
Zip
02301-1668
Phone Number
508-587-6556
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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.
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