Samuelsen, Christine
Samuelsen, Christine is an sole proprietor health care provider with primary practice located at 2204 Market St Ste 2 , Camp Hill PA 17011-4649. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Samuelsen, Christine can be contacted via phone (717) 409-5414.Contact Information
Primary practice address
2204 Market St Ste 2
Camp Hill PA 17011-4649
Phone: (717) 409-5414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS016938 | Pennsylvania |
Profile Details
| NPI number | 1508247933 |
|---|---|
| LBN Legal business name | Samuelsen, Christine |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2015 |
| Last updated | Sep 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508247933 | NPPES |
| Pennsylvania | MEDICAID | 1030708610001 |
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