Samantha Tricarico | San Antonio, TX • PECOS Search

Samantha Tricarico

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

225 E Sonterra Blvd, 120, San Antonio, TX 78258-3992

PECOS Enrollment

Based on the most recent information from CMS, provider Samantha Tricarico does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1619334901
Provider Type
Individual
Full Name
Tricarico, Samantha
Title
Ms.
Credential
M.C. CCC-SLP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/18/2016
Last Updated
1/18/2016

Contact Information

Practice Location

225 E Sonterra Blvd, 120, San Antonio, TX 78258-3992

Unlisted Fax

Mailing Location

225 E Sonterra Blvd, 120, San Antonio, TX 78258-3992

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 108166 Texas