Organization
DR. SUSAN SAMUEL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN SAMUEL PSY.D. (LICENSED PSYCHOLOGIST)
(630) 240-6197
Entity
Organization
Contact information
Practice address
400 N MCCLURG CT, SUITE 3304, CHICAGO, IL 60611-4323
(646) 397-2685
Mailing address
1812 BELLER RD, WOODRIDGE, IL 60517-4606
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.008447
—
Other
Enumeration date
02/28/2013
Last updated
05/22/2013
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