Individual
DR. DOMINIQUE SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1738 UNION ST, SAN FRANCISCO, CA 94123-4441
(415) 218-5454
Mailing address
44 ASHBURY ST, SAN FRANCISCO, CA 94117-1208
(415) 218-5454
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY23442
CA
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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