Individual
SAMANTHA HUESTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
321 MIDDLEFIELD RD, PEDIATRIC PAIN MANAGEMENT, SUITE 225, MENLO PARK, CA 94025-3500
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
PSY25493
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
PSY25493
CA
Other
Enumeration date
05/22/2011
Last updated
04/11/2024
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