| Nirmal K Samanta, PHD, CCC-SLP | |
|
500 Carlson Pkwy, Minnetonka, MN 55305-5304 | |
| (877) 407-3422 | |
| Not Available |
| Full Name | Nirmal K Samanta |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 500 Carlson Pkwy, Minnetonka, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730424029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 3531 (Kentucky) | Secondary |
| 235Z00000X | Speech-language Pathologist | 2004016682 (Missouri) | Primary |
| Provider Name | Fox Rehabilitation Services Mn Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1356802862 PECOS PAC ID: 0941542591 Enrollment ID: O20190430002455 |
| Mailing Address | Practice Location Address |
|---|---|
| Nirmal K Samanta, PHD, CCC-SLP 250 Brandy Ln, Cape Girardeau, MO 63701-8443 Ph: (573) 450-3393 | Nirmal K Samanta, PHD, CCC-SLP 500 Carlson Pkwy, Minnetonka, MN 55305-5304 Ph: (877) 407-3422 |
Mrs. Katy Marie Cloutier, MA,CCC,SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396 Fax: 952-548-8760 | |
Kristyne Hass, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 500 Carlson Pkwy, Minnetonka, MN 55305 Phone: 877-407-3422 Fax: 877-407-4329 | |
Sara Gotlieb Azorsky, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 12421 Bent Tree Ln, Minnetonka, MN 55305 Phone: 651-503-0018 | |
Linda L Richards, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 500 Carlson Pkwy, Minnetonka, MN 55305 Phone: 877-407-3422 Fax: 877-407-4329 | |
Alexa Ronayne, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 10653 Wayzata Blvd, Minnetonka, MN 55305 Phone: 612-364-1901 | |
Elizabeth Marie Deacon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396 | |
Bertone Speech Language & Communication Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11606 Wayzata Blvd, Minnetonka, MN 55305 Phone: 952-544-0349 |