Wilson, Samantha Dewitt

Wilson, Samantha Dewitt is an sole proprietor health care provider with primary practice located at 785 Grand Ave Ste 212 , Carlsbad CA 92008-2371. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Wilson, Samantha Dewitt can be contacted via phone (760) 453-7175.

Contact Information

Primary practice address
785 Grand Ave Ste 212 Carlsbad CA 92008-2371
Phone: (760) 453-7175
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 34430 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 76389 California

Profile Details

NPI number 1881823045
LBN Legal business name Wilson, Samantha Dewitt
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2009
Last updated Oct 3rd, 2023 - about last year

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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