MRS. Samantha Fordham Depue, M.ED. CCC-SLP, BCBA

NPI #1114041613 in Columbus, Georgia

Provider Information

NPI Number: 1114041613
Entity Type: Individual
Name: MRS. Samantha Fordham Depue, M.ED. CCC-SLP, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: M.ED. CCC-SLP, BCBA
Enumeration Date: Mar 19, 2007
Last Updated: Jun 27, 2025

Practice Location

Address: 6329 BROOKSTONE BLVD
City: Columbus
State: Georgia
ZIP Code: 31904-2993
Phone: (706) 577-3942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary
Speech-Language Pathologist	235Z00000X

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