Alane J Samuels, MSCCCSLP
Alane J Samuels, MSCCCSLP is a Qualified Speech Language Pathologist in Ventura, California. Qualified in 2012, 14 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 14
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
2382 Kipana AveVentura, CA 93001-0341
Phone: (805) 217-9073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 21151 (CA) |
|---|
Record details
| NPI number | 1891268371 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSCCCSLP |
| Sole proprietor | Yes |
| NPI enumerated | January 7, 2019 |
| Last updated in NPPES | December 3, 2021 |
| Certification date | December 3, 2021 |
| Mailing address | 2382 Kipana Ave, Ventura, CA 93001-0341 |
Medicare enrollment
| Medicare specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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