Individual
SAMANTHA JAYNE LOOKATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023913-01
NY
103T00000X
Psychologist
35SI00679500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023913-01
—
NY
05
—
35SI00679500
—
NJ
Enumeration date
12/11/2018
Last updated
10/31/2022
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