Samson, Kristal
Samson, Kristal is an individual health care provider with primary practice located at 10701 East Blvd # 116Bw , Cleveland OH 44106-1702. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Samson, Kristal can be contacted via phone (216) 791-3800.Contact Information
Primary practice address
10701 East Blvd # 116Bw
Cleveland OH 44106-1702
Phone: (216) 791-3800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | P.08203 | Ohio |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P.08203 | Ohio |
Behavioral Health & Social Service Providers / Health | 103TH0004X | P.08203 | Ohio |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | P.08203 | Ohio |
Profile Details
NPI number | 1619646916 |
---|---|
LBN Legal business name | Samson, Kristal |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2021 |
Last updated | Sep 9th, 2021 - about 3 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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