Timothy Lee Sams PHD

NPI 1912010885 - Psychologist - 103TB0200X

NPI Details
NPI 1912010885
Gender Male
Enumeration Date 08/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
23792 ROCKFIELD BLVD
STE 290
LAKE FOREST CA, 92630, US
Phone (949) 458-1073
Fax
Business Location
PO BOX 6599
IRVINE CA, 92616, US
Phone (310) 608-2227
Fax (310) 632-7227
Toxanomy
Taxonomy Code 103TB0200X
License State California
License Number PSY12149
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According to our database, Timothy Lee Sams PHD NPI is 1912010885, taxonomy code is 103TB0200X and license number is PSY12149, license state is located at California. Timothy Lee Sams PHD physically located at 23792 Rockfield Blvd, Lake Forest CA, 92630. NPI Number Timothy Lee Sams PHD has the Individual type.

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1912010885 NPI number is provided on an as is basis without warranty of any kind. 1912010885 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Lee Sams PHD are for informational purposes only.