Individual
DEANNE SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3856 SW 52ND AVE, HOLLYWOOD, FL 33023-6905
(786) 246-7121
Mailing address
3856 SW 52ND AVE, HOLLYWOOD, FL 33023-6905
(786) 246-7121
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18392
CA
Other
Enumeration date
04/04/2020
Last updated
04/04/2020
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