Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Khadeisha Kashema Samuels, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1801192752

Khadeisha Kashema Samuels, MS, CCC-SLP is a Speech-Language Pathologist in Winter Haven, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2011
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

790 6th St NW
Winter Haven, FL 33881-4013
Phone: (863) 229-8319
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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 SZ 5049 (FL)

Record details

NPI number1801192752
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 9, 2011
Last updated in NPPESFebruary 9, 2011

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