Individual
MS. AIMEE JOY SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2450 S ATLANTIC BLVD, SUITE 101, COMMERCE, CA 90040-1200
(323) 318-9960
Mailing address
2450 S ATLANTIC BLVD, SUITE 101, COMMERCE, CA 90040-1200
(323) 318-9960
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21775
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ENK1733
L.A. DPT OF MENTAL HEALTH
CA
Enumeration date
03/08/2007
Last updated
05/16/2012
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