Individual ProviderSamantha Ellen Eisen-SeydaSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address3543 Bay Island Cir, Jacksonville Beach, FL 32250-3958(902) 247-1251(904) 247-1251PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Ellen Eisen-Seyda does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1023324258Provider TypeIndividualFull NameEisen-Seyda, Samantha EllenCredentialM.S.,CCC/SLPGenderFemaleSole ProprietorYesEnumeration Date8/25/2010Last Updated8/25/2010Contact InformationPractice LocationPractice Address3543 Bay Island Cir, Jacksonville Beach, FL 32250-3958Phone(902) 247-1251FaxUnlisted FaxMailing LocationMailing Address3543 Bay Island Cir, Jacksonville Beach, FL 32250-3958Phone(904) 247-1251FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSA448Florida