Individual
MRS. SAMANTHA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 S 4TH ST, LOUISVILLE, KY 40202-3021
(323) 205-7088
Mailing address
8787 BROOKPARK RD, PARMA, OH 44129-6809
(216) 739-7000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
172176
KY
103TC0700X
Clinical Psychologist
172176
KY
Other
Enumeration date
04/15/2016
Last updated
10/09/2025
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