Individual
DR. SAMANTHA WESLEY KOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3136 ROUTE 207, SUITE 107, CAMPBELL HALL, NY 10916
(845) 283-2544
(845) 360-5834
Mailing address
11 TRAILS POINT DR, CAMPBELL HALL, NY 10916-2306
(845) 294-9469
(845) 294-9469
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
016889
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02812260
—
NY
Enumeration date
09/26/2006
Last updated
08/19/2024
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