Individual
MRS. SAMANTHA LYNN ELDRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP CAADC
Contact information
Practice address
117 W 3RD ST, ROYAL OAK, MI 48067-3831
(248) 965-6605
Mailing address
117 W 3RD ST, ROYAL OAK, MI 48067-3831
(248) 965-6605
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
C-03096
MI
103TC0700X
Clinical Psychologist
Primary
6301015585
MI
Other
Enumeration date
09/06/2012
Last updated
10/17/2018
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