Dominique Samuels PSYD

NPI 1154638583 - Psychologist - 103TC0700X

NPI Details
NPI 1154638583
Gender Female
Enumeration Date 09/07/2010
Last Updated 09/07/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1738 UNION ST
SAN FRANCISCO CA, 94123-4441, US
Phone (415) 218-5454
Fax
Business Location
44 ASHBURY ST
SAN FRANCISCO CA, 94117-1208, US
Phone (415) 218-5454
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY23442
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According to our database, Dr. Dominique Samuels PSYD NPI is 1154638583, taxonomy code is 103TC0700X and license number is PSY23442, license state is located at California. Dominique Samuels PSYD physically located at 1738 Union St, San Francisco CA, 94123-4441. NPI Number Dominique Samuels PSYD has the Individual type.

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1154638583 NPI number is provided on an as is basis without warranty of any kind. 1154638583 is maintained by the National Plan & Provider Enumeration System. The contents of Dominique Samuels PSYD are for informational purposes only.