Individual
SAMANTHA C OMELIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3000 GULF TO BAY BLVD STE 300, CLEARWATER, FL 33759-4304
(800) 687-1938
Mailing address
2803 GULF TO BAY BLVD # 116, CLEARWATER, FL 33759-4014
(727) 210-5081
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY12029
FL
Other
Enumeration date
07/29/2015
Last updated
10/29/2024
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