Individual
ERIC S. SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2045 E WEST MAPLE RD STE D405, COMMERCE TOWNSHIP, MI 48390-3801
(248) 669-9500
Mailing address
6506 HERITAGE, WEST BLOOMFIELD, MI 48322-1340
(248) 907-5677
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362009092
MI
Other
Enumeration date
08/30/2020
Last updated
08/30/2020
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