Individual
SAM PLYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
4747 OKEMOS RD, OKEMOS, MI 48864-1663
(517) 349-0515
(517) 349-3755
Mailing address
4747 OKEMOS RD, OKEMOS, MI 48864-1663
(517) 349-0515
(517) 349-3755
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301000679
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620C3-4525
BCBS PI N
MI
Enumeration date
02/02/2007
Last updated
07/08/2007
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