Individual
DR. SAMARA KIM WAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4510 N 37TH AVE, PHOENIX, AZ 85019-3206
(602) 589-0110
(602) 589-0140
Mailing address
4510 N 37TH AVE, PHOENIX, AZ 85019-3206
(602) 589-0110
(602) 589-0140
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3577
AZ
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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