Individual
STACEY LYNN SAMARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4 MONTEBELLO RD, PUEBLO, CO 81001-1237
(719) 546-6667
Mailing address
933 E PHILLIPS LN, LITTLETON, CO 80122-2986
(909) 725-9968
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0005270
CO
Other
Enumeration date
08/13/2020
Last updated
01/19/2024
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