Chen, Samantha W
Chen, Samantha W is an sole proprietor health care provider with primary practice located at 660 S Fair Oaks Ave , Sunnyvale CA 94086-7913. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Chen, Samantha W can be contacted via phone (650) 815-1168.Contact Information
Primary practice address
660 S Fair Oaks Ave
Sunnyvale CA 94086-7913
Phone: (650) 815-1168
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC 42386 | California |
Profile Details
| NPI number | 1366500282 |
|---|---|
| LBN Legal business name | Chen, Samantha W |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2006 |
| Last updated | May 19th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366500282 | NPPES |
| California | MEDICAID | 1366500282 |
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