Samantha Bozarth, CCC-SLP
Speech-Language Pathologist, in Bloomington, Illinois
1427791920- Practice location
- 2103 N Veterans Pkwy, Bloomington, IL 61704-0908
- Phone
- 309-948-6469
- Fax
- —
- Last updated
- April 14, 2022
Samantha Bozarth is a Speech-Language Pathologist, based in Bloomington, IL. Samantha Bozarth practices in Bloomington, IL and has the professional credentials of CCC-SLP. The NPI Number for Samantha Bozarth is 1427791920 and holds a License No. 146.016023 (IL). The current practice location address for Samantha Bozarth is 2103 N Veterans Pkwy, Bloomington, IL 61704-0908 and can be reached out via phone at 309-948-6469.
Provider Profile Details
- NPI Number
- 1427791920
- Provider Name
- Samantha Bozarth
- Credential
- CCC-SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2103 N Veterans Pkwy, Bloomington, IL 61704-0908
- Phone Number
- 309-948-6469
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 14, 2022
- Last Update Date
- April 14, 2022
- Certification Date
- April 14, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2103 N Veterans Pkwy
Bloomington, IL 61704-0908 - City
- Bloomington
- State
- Illinois
- Zip
- 61704-0908
- Phone Number
- 309-948-6469
Provider Business Mailing Address Details
- Address
- Po Box 416501
Boston, MA 02241-6501 - City
- Boston
- State
- MA
- Zip
- 02241-6501
License Information
- License Number
- 146.016023
- License State
- IL
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Samantha Bozarth, CCC-SLP?
The NPI number of Samantha Bozarth, CCC-SLP is 1427791920. It was assigned on April 14, 2022 and is currently active in the NPPES registry.
What is the specialty of Samantha Bozarth, CCC-SLP?
Samantha Bozarth, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in IL under license number 146.016023.
Where does Samantha Bozarth, CCC-SLP practice?
The practice location is 2103 N Veterans Pkwy, Bloomington, IL 61704-0908. The office can be reached at 309-948-6469 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427791920 directly on the NPPES registry website.