Organization
SAMANTHA J VIGNERI
Active
Other names
Comprehensive Therapies and Services
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA J VIGNERI (SOLE PROPRIETOR)
(800) 869-8552
Entity
Organization
Contact information
Practice address
24891 HIGHWAY 6, HEMPSTEAD, TX 77445-7747
(800) 869-8552
(713) 869-8564
Mailing address
24891 HIGHWAY 6, HEMPSTEAD, TX 77445-7747
(800) 869-8552
(713) 869-8564
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R43R
BCBS
TX
05
—
0847840-01
—
TX
01
—
CB3577
RR MEDICARE
TX
Enumeration date
09/12/2006
Last updated
05/16/2008
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