Individual provider · Type 1 NPI

Samantha Lee Thebeault, M.S., CF-SLP

Student in an Organized Health Care Education/Training Program · Brockton, MA

NPI number 1336504836 Active

Practice location

888 N Main St
Brockton, MA 02301-1668

Call (508) 587-6556 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

16 other providers at this address

Other student in an organized health care education/training program providers in Brockton

See all in Brockton →

About NPI 1336504836

Samantha Lee Thebeault, M.S., CF-SLP's National Provider Identifier is 1336504836, issued on Dec 28, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brockton, MA. The record was last updated on Dec 28, 2015.