Individual
SAMANTHA MARASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
1901 SW H K DODGEN LOOP BLDG 300, TEMPLE, TX 76502-1814
(254) 724-5437
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
39944
TX
171W00000X
Contractor
—
—
Other
Enumeration date
01/24/2022
Last updated
02/17/2026
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