Boone, Samantha

Boone, Samantha is an individual health care provider with primary practice located at 639 Swedesford Rd , Malvern PA 19355-1530. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Boone, Samantha can be contacted via phone (610) 616-5935.

Contact Information

Primary practice address
639 Swedesford Rd Malvern PA 19355-1530
Phone: (610) 616-5935
Fax: (484) 318-7166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS019930 Pennsylvania
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS019930 Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1134783715
LBN Legal business name Boone, Samantha
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2019
Last updated Dec 14th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1134783715 NPPES
Pennsylvania Other PS019930 STATE LICENSE

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