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Individual

SAMUEL SAUNDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
16715 PALDA DR, CLEVELAND, OH 44128-3326
(239) 491-4636
Mailing address
16715 PALDA DRIVE, CLEVELAND, OH 44128

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871999417
OH
Enumeration date
11/10/2014
Last updated
10/07/2024
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