Provider Demographics
NPI:1164247516
Name:EISNER, SAMANTHA (MA - CF SLP)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:EISNER
Suffix:
Gender:F
Credentials:MA - CF SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12845 VINCENT DR
Mailing Address - Street 2:
Mailing Address - City:MANTUA
Mailing Address - State:OH
Mailing Address - Zip Code:44255-9357
Mailing Address - Country:US
Mailing Address - Phone:440-591-8500
Mailing Address - Fax:
Practice Address - Street 1:1951 OH-59
Practice Address - Street 2:SUITE C
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240
Practice Address - Country:US
Practice Address - Phone:330-846-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist