Samuelson, Cheryl

Samuelson, Cheryl is an individual health care provider with primary practice located at 12450 Van Nuys Blvd Suite #200, Pacoima CA 91331-1391. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Samuelson, Cheryl can be contacted via phone (818) 896-1161.

Contact Information

Primary practice address
12450 Van Nuys Blvd Suite #200 Pacoima CA 91331-1391
Fax: (818) 896-1462
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1750412490
LBN Legal business name Samuelson, Cheryl
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750412490 NPPES
California MEDICAID 7420
California MEDICAID 7068

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