Provider Type Icon

SAMANTHA TAN M.S. CCC-SLP CLC NPI 1114485570


NPI Information

NPI: 1114485570
Provider Name: SAMANTHA TAN, M.S. CCC-SLP, CLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
400 W VENTURA BLVD STE 150
CAMARILLO, CA
ZIP 93010
Phone: (805) 383-1497
Get Directions

Samantha Tan, M.S. CCC-SLP, CLC is a speech language pathologist in Camarillo, CA. The provider is 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. Samantha Tan, M.S. CCC-SLP, CLC NPI is 1114485570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 W VENTURA BLVD STE 150
CAMARILLO, CA
ZIP 93010-140
Phone: (805) 383-1497
Fax: (805) 383-1498

The enumeration date for this NPI number is 3/5/2019 and was last updated on 10/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistNo
2235Z00000XSpeech-Language PathologistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.