Individual
DR. DOUGLAS DENNIS SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
330 SCHRAALENBURGH RD, HAWORTH, NJ 07641
(201) 384-4111
Mailing address
330 SCHRAALENBURGH RD, HAWORTH, NJ 07641
(201) 384-4111
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
355100153200
NJ
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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