Individual
SAMANTHA PIEKNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
7330 N 16TH ST STE C-200, PHOENIX, AZ 85020-5237
(480) 269-5803
Mailing address
7330 N 16TH ST STE C-200, PHOENIX, AZ 85020-5237
(480) 269-5803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
4913
AZ
Other
Enumeration date
06/02/2015
Last updated
03/17/2018
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