Kirk, Samantha A.

Kirk, Samantha A. is an sole proprietor health care provider with primary practice located at 84 Bartlett Ave , Cranston RI 02905-1336. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kirk, Samantha A. can be contacted via phone (401) 243-7044.

Contact Information

Primary practice address
84 Bartlett Ave Cranston RI 02905-1336
Phone: (401) 243-7044
Fax: (401) 842-0360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS00884 Rhode Island

Profile Details

NPI number 1003869876
LBN Legal business name Kirk, Samantha A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated May 8th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003869876 NPPES
Rhode Island MEDICAID SK56341

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