Individual
DR. SAMANTHA BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1920 S HIGHLAND AVE STE 300, LOMBARD, IL 60148-6149
(469) 476-0440
Mailing address
1091 JENNIFER LN, BOLINGBROOK, IL 60440-1672
(618) 604-1440
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009971
IL
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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