Individual
DR. KRISTAL SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10701 EAST BLVD # 116BW, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
1215 W 10TH ST APT 636, CLEVELAND, OH 44113-1281
(812) 243-7157
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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