Provider Demographics
NPI:1144904517
Name:SNOW, SAMANTHA (AUD)
Entity type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:
Last Name:SNOW
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 E ROYAL HARVEST WAY APT 20
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD HEIGHTS
Mailing Address - State:UT
Mailing Address - Zip Code:84121-6818
Mailing Address - Country:US
Mailing Address - Phone:208-590-8991
Mailing Address - Fax:
Practice Address - Street 1:4000 S 700 E STE 10
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-2580
Practice Address - Country:US
Practice Address - Phone:801-290-0119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist