Individual
DR. SAMANTHA GWEN FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 SPRING ST, NEW BRUNSWICK, NJ 08901-2276
(908) 229-8991
Mailing address
56 SPRUCE ST APT B, PRINCETON, NJ 08542-3812
(908) 229-8991
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00600200
NJ
103TC0700X
Clinical Psychologist
PS01643
RI
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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