Individual
SAMUEL J HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
11883 PERRY HWY, WEXFORD, PA 15090-7353
(724) 987-2993
Mailing address
11883 PERRY HWY STE D, WEXFORD, PA 15090-7353
(724) 987-2993
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2203771-TRNE
OH
Other
Enumeration date
01/18/2022
Last updated
10/29/2025
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