Individual provider · Type 1 NPI

Samantha Tan, M.S. CCC-SLP, CLC

Speech-Language Pathologist · Camarillo, CA

NPI number 1114485570 Active

Practice location

400 W Ventura Blvd Ste 150
Camarillo, CA 93010-9140

Fax (805) 383-1498

Mailing address

12168 Monogram Ave
Granada Hills, CA 91344-2609

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
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 1114485570

Samantha Tan, M.S. CCC-SLP, CLC's National Provider Identifier is 1114485570, issued on Mar 5, 2019. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Camarillo, CA. The record was last updated on Oct 11, 2022.