Individual
SAMANTHA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 DELISLE AVENUE, FREEPORT, NY 11520
(516) 378-0670
Mailing address
6 DELISLE AVENUE, FREEPORT, NY 11520
(516) 378-0670
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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