Blevins, Samantha
Blevins, Samantha is an sole proprietor health care provider with primary practice located at 1920 S Highland Ave Ste 300 , Lombard IL 60148-6149. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blevins, Samantha can be contacted via phone (469) 476-0440.Contact Information
Primary practice address
1920 S Highland Ave Ste 300
Lombard IL 60148-6149
Phone: (469) 476-0440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071009971 | Illinois |
Profile Details
| NPI number | 1972061307 |
|---|---|
| LBN Legal business name | Blevins, Samantha |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2019 |
| Last updated | Mar 5th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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