Provider Demographics
NPI:1902128853
Name:SAMSING, GWENDOLYN KAY (BC,HIS)
Entity Type:Individual
Prefix:MS
First Name:GWENDOLYN
Middle Name:KAY
Last Name:SAMSING
Suffix:
Gender:F
Credentials:BC,HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 N 5TH AVE
Mailing Address - Street 2:2A
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-3066
Mailing Address - Country:US
Mailing Address - Phone:360-681-5100
Mailing Address - Fax:360-681-5180
Practice Address - Street 1:675 N 5TH AVE
Practice Address - Street 2:2A
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3066
Practice Address - Country:US
Practice Address - Phone:360-681-5100
Practice Address - Fax:360-681-5180
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1241237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist