Individual
TIMOTHY LEE SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
23792 ROCKFIELD BLVD, STE 290, LAKE FOREST, CA 92630
(949) 458-1073
Mailing address
PO BOX 6599, IRVINE, CA 92616
(310) 608-2227
(310) 632-7227
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY12149
CA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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