Individual
LESLIE M SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 SANCHEZ ST, SAN FRANCISCO, CA 94114-1613
(415) 820-3949
Mailing address
201 SANCHEZ ST, SAN FRANCISCO, CA 94114-1613
(415) 820-3949
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY20080
CA
Other
Enumeration date
01/06/2022
Last updated
02/09/2022
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