Individual
DR. GARY MICHAEL SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
945 11TH AVENUE, LONGVIEW, WA 98632
(888) 313-8600
(360) 636-7372
Mailing address
945 11TH AVENUE, LONGVIEW, WA 98632
(888) 313-8600
(360) 636-7372
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1269
WA
Other
Enumeration date
08/31/2006
Last updated
11/17/2011
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