Individual
SAMANTHA NICOLE MLADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23224-4915
(804) 675-5000
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0810008712
VA
103TR0400X
Rehabilitation Psychologist
Primary
0810008712
VA
Other
Enumeration date
06/14/2024
Last updated
10/08/2025
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