Individual
CHRISTINE SAMUELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2204 MARKET ST STE 2, CAMP HILL, PA 17011-4649
(717) 409-5414
Mailing address
2204 MARKET ST STE 2, CAMP HILL, PA 17011-4649
(717) 409-5414
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016938
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030708610001
—
PA
Enumeration date
06/11/2015
Last updated
09/01/2021
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