Organization
SAMANTHA PODSTUPKA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA ASHLEY SEGALL (LICENSED PSYCHOTHERAPIST)
(415) 634-7331
Entity
Organization
Contact information
Practice address
4055 INCA ST APT 318, DENVER, CO 80211-2680
(310) 905-2905
Mailing address
4055 INCA ST APT 318, DENVER, CO 80211-2680
(310) 905-2905
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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