Individual
DR. SAMANTHA ANNE SCIULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-4400
Mailing address
800 IRVING AVE, SYRACUSE, NY 13210-2716
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
39747
TX
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
03/10/2023
Last updated
03/13/2023
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