Individual
DR. SAMANTHA LEE HAUDENSCHIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
217 W MULBERRY ST, WAYNESFIELD, OH 45896-9498
(419) 773-0176
Mailing address
217 W MULBERRY ST, WAYNESFIELD, OH 45896-9498
(419) 773-0176
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.6844
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P.6844
LICENSE
OH
Enumeration date
07/01/2021
Last updated
07/01/2021
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