Individual
SANKA SAMARDZIJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
2100 N MAIN ST # 304, CROWN POINT, IN 46307-1877
(574) 546-1900
(574) 546-1999
Mailing address
5600 EUBANK BLVD NE, STE 160, ALBUQUERQUE, NM 87111-1518
(505) 221-6007
(505) 738-4045
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071.008218
IL
103T00000X
Psychologist
1201
NM
103TC0700X
Clinical Psychologist
071008218
IL
103TC0700X
Clinical Psychologist
Primary
20043349A
IN
Other
Enumeration date
07/29/2010
Last updated
02/09/2024
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