Individual
DR. SAMANTHA LORINE WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LCSW
Contact information
Practice address
694 W. CHICAGO STREET, COLDWATER, MI 49068
(517) 279-8866
(517) 279-8866
Mailing address
694 W. CHICAGO STREET, COLDWATER, MI 49068
(517) 279-8866
(517) 279-8866
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015601
MI
103TC0700X
Clinical Psychologist
071008438
IL
1041C0700X
Clinical Social Worker
149.014758
IL
1041C0700X
Clinical Social Worker
6801084214
MI
Other
Enumeration date
05/17/2006
Last updated
04/10/2014
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