Individual
DR. KRISTAL SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P.08203
OH
103TA0700X
Adult Development & Aging Psychologist
P.08203
OH
103TC0700X
Clinical Psychologist
P.08203
OH
103TH0004X
Health Psychologist
P.08203
OH
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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