Individual
DR. SAMUEL BRIAN MCINTYRE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ED.D
Contact information
Practice address
7309 N KNOXVILLE AVE, PEORIA, IL 61614-2085
(309) 692-9898
(309) 692-9055
Mailing address
7309 N KNOXVILLE AVE, PEORIA, IL 61614-2085
(309) 692-9898
(309) 692-9055
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
IL
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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