NPI 1033494703

Maryann Samuel, PSYD

Practitioner Psychologist Laguna Hills, CA

Practice location

Address: 25255 Cabot Rd Suite #210, Laguna Hills, CA 92653-5519
Phone: (949) 887-8779
Mailing address: 92 Argonaut STE 245, Aliso Viejo, CA 92656-4129

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY 24440 (CA)

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Registry record

NPI: 1033494703
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Oct 2011
Record last updated: 7 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.