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Organization
SAMUEL PSYCHOTHERAPY, INC
Active
Organization
SAMUEL PSYCHOTHERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANN SAMUEL (OWNER)
(951) 818-3038
Entity
Organization
Contact information
Practice address
25255 CABOT RD, SUITE 210, LAGUNA HILLS, CA 92653-5519
(951) 818-3038
Mailing address
25255 CABOT RD, SUITE 210, LAGUNA HILLS, CA 92653-5519
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY24440
CA
Other
Enumeration date
04/14/2015
Last updated
11/21/2016
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