Most Relevant Information
Provider Data
| NPI Number: | 1003219197 |
| Provider Name: | SAMANTHA JANE MCMULLEN |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 87520 |
Most Important Dates
| Enumeration Date: | 10/02/2014 |
| Last Updated: | 06/07/2017 |
Provider Practice Location
4025 W 226TH ST
TORRANCE
CA
905052340
Practice Location Phone/Fax
| Phone: | 3103734556 |
| Fax: |
Provider Mailing Location
4025 W 226TH ST
TORRANCE
CA
905052340
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |