Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samantha Renee Wisecarver, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1245013200

Samantha Renee Wisecarver, CCC-SLP is a Speech-Language Pathologist in Lantana, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023
What do these letters mean?
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

2792 Donnelly Dr
Lantana, FL 33462-6431
Phone: (888) 725-2987
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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 SA19469 (FL)

Record details

NPI number1245013200
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 15, 2023
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

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