Samson, Jacqueline Anne
Samson, Jacqueline Anne is an sole proprietor health care provider with primary practice located at 115 Mill St , Belmont MA 02478-1041. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Samson, Jacqueline Anne can be contacted via phone (617) 855-3348.Contact Information
Primary practice address
115 Mill St
Belmont MA 02478-1041
Phone: (617) 855-3348
Fax: (617) 855-2936
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 4522 | Massachusetts |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4522 | Massachusetts |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4522 | Massachusetts |
Profile Details
NPI number | 1467454652 |
---|---|
LBN Legal business name | Samson, Jacqueline Anne |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 1st, 2005 |
Last updated | Jul 9th, 2010 - about 14 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 | 1467454652 | NPPES |
Massachusetts | Other | 01950 | VALUE OPTIONS |
Massachusetts | Other | W05381 | VALUE OPTIONS |
Massachusetts | Other | 001458 | VALUE OPTIONS |
Massachusetts | Other | 1858807 | VALUE OPTIONS |
Popular Providers
-
Bannen, Marlene A
1836 South Ave , La Crosse WI 54601-5429 -
Segarra, Efrain
5557 Carys Brook Ln , Gloucester VA 23061-2002 -
Cullen, Jenifer M
115 Mill St , Belmont MA 02478-1064 -
Warner, Jan Earl
230 E Day Rd Ste 160 , Mishawaka IN 46545-3463 -
Webb, Christian Anthony
115 Mill Street Demarneffe Building Room 240, Belmont MA 02478 -
Bialik, Kimberly Chin
325 E Eisenhower Pkwy Suite 100, Ann Arbor MI 48108-5721 -
Casazza, Ralph E.
1917 Trixie Ln , Houston TX 77042-2631 -
Tudiver, Judith G
415 E Unaka Ave , Johnson City TN 37601-4030