Individual
SAMANTHA BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1536 N 115TH ST, SEATTLE, WA 98133-8400
(206) 598-3344
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00003846
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548571904
—
WA
Enumeration date
06/30/2010
Last updated
03/28/2025
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