Individual
SAMUEL CARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 720-1383
Mailing address
1210 PRAIRIE CREEK BLVD UNIT 107, OCONOMOWOC, WI 53066-8804
(920) 318-6143
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5186-57
WI
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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