Most Relevant Information
Provider Data
| NPI Number: | 1003210220 |
| Provider Name: | SAMANTHA WASILUS M.S CCC SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLP000573 |
Most Important Dates
| Enumeration Date: | 10/17/2014 |
| Last Updated: | 10/17/2014 |
Provider Practice Location
4880 MACARTHUR BLVD NW
WASHINGTON
DC
200071557
Practice Location Phone/Fax
| Phone: | 2023331403 |
| Fax: | 2023331404 |
Provider Mailing Location
4880 MACARTHUR BLVD NW
WASHINGTON
DC
200071557
Provider Mailing Phone/Fax
| Phone: | 2023331403 |
| Fax: | 2023331404 |