Individual
SAMUEL WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
495 THOMAS JONES WAY STE 204, EXTON, PA 19341-2553
(610) 477-8819
Mailing address
495 THOMAS JONES WAY STE 204, EXTON, PA 19341-2553
(610) 892-3800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
PA
103TC0700X
Clinical Psychologist
Primary
PS020667
PA
Other
Enumeration date
09/13/2023
Last updated
01/06/2026
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