Samuelson, Alexa Amelia

Samuelson, Alexa Amelia is an individual health care provider with primary practice located at 2233 Nesconset Hwy Ste 201 , Lake Grove NY 11755-1000. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Samuelson, Alexa Amelia can be contacted via phone (631) 786-8930.

Contact Information

Primary practice address
2233 Nesconset Hwy Ste 201 Lake Grove NY 11755-1000
Phone: (631) 786-8930
Fax: (631) 256-5229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X New York

Profile Details

NPI number 1336831817
LBN Legal business name Samuelson, Alexa Amelia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2023
Last updated May 23rd, 2023 - about 2 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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