Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Mar Samples, PHDCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1891086344

John Mar Samples, PHDCCC-SLP is a Speech-Language Pathologist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

1212 College Ave Ste A
Santa Rosa, CA 95404
Phone: (707) 542-1010
Fax: (707) 542-3232
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP 1429 (CA)

Record details

NPI number1891086344
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDCCC-SLP
Sole proprietorNo
NPI enumeratedMay 2, 2011
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021
Mailing address1535 Farmers Lane, 319, Santa Rosa, CA 95405

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