Individual
SAMANTHA RACHEL KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2336 GODDARD PKWY, SALISBURY, MD 21801-1126
(410) 334-6961
(410) 334-6960
Mailing address
2336 GODDARD PKWY, SALISBURY, MD 21801-1126
(410) 334-6961
(410) 334-6960
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04391
MD
103TC0700X
Clinical Psychologist
0810003436
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609550001
—
MD
05
—
609550002
—
MD
05
—
609550003
—
MD
Enumeration date
07/08/2009
Last updated
07/08/2009
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