Individual
DR. SAMANTHA M LUSSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1200 W 35TH ST, 5B5220, CHICAGO, IL 60609-1305
(312) 548-9051
Mailing address
1200 W 35TH ST, 5B5220, CHICAGO, IL 60609-1305
(312) 548-9051
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008957
IL
Other
Enumeration date
09/11/2007
Last updated
10/02/2015
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