Individual
PAUL SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1080 NIMITZVIEW DR, SUITE 200, CINCINNATI, OH 45230-4314
(513) 688-7555
(513) 688-0591
Mailing address
4240 HUNT RD, CINCINNATI, OH 45242-6612
(513) 891-0650
(513) 891-2838
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3671
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
294224000
MAGELLAN PROVIDER NUMBER
OH
Enumeration date
01/16/2007
Last updated
10/01/2008
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