Individual
DR. DOREEN ANN SAMELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD, MSCP
Contact information
Practice address
2185 W GRANT LINE RD, TRACY, CA 95377-7309
(209) 839-6233
(209) 839-6246
Mailing address
2185 W GRANT LINE RD, TRACY, CA 95377-7309
(209) 839-6233
(209) 839-6246
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY16868
CA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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