Pelcak, Samantha Renee
Pelcak, Samantha Renee is an individual health care provider with primary practice located at 11050 Mount Belvedere Blvd , Fort Drum NY 13602-5438. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pelcak, Samantha Renee can be contacted via phone (315) 772-0215.Contact Information
Primary practice address
11050 Mount Belvedere Blvd
Fort Drum NY 13602-5438
Phone: (315) 772-0215
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4732 | Arizona |
Profile Details
| NPI number | 1497292619 |
|---|---|
| LBN Legal business name | Pelcak, Samantha Renee |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2017 |
| Last updated | Jan 25th, 2017 - about 7 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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