Individual provider · Type 1 NPI

Samantha R. Formento

Speech-Language Pathologist · New Lenox, IL

NPI number 1053834176 Active

Practice location

1621 Andrea Dr
New Lenox, IL 60451-2303

Mailing address

2156 Deep Water Ln Ste 110
Naperville, IL 60564-8507

Other practice locations

  • 2156 Deep Water Ln Ste 110, Naperville, IL 60564-8507 · (630) 904-0700

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: 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, resonan…

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About NPI 1053834176

Samantha R. Formento's National Provider Identifier is 1053834176, issued on Jul 20, 2017. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in New Lenox, IL. The record was last updated on Sep 9, 2023.