Most Relevant Information
Provider Data
| NPI Number: | 1003329830 |
| Provider Name: | ANDREA SAMUELS PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PSY26569 |
Most Important Dates
| Enumeration Date: | 11/15/2017 |
| Last Updated: | 11/15/2017 |
Provider Practice Location
1947 DIVISADERO ST STE 1D
SAN FRANCISCO
CA
941152532
Practice Location Phone/Fax
| Phone: | 5108474858 |
| Fax: |
Provider Mailing Location
1947 DIVISADERO ST STE 1D
SAN FRANCISCO
CA
941152532
Provider Mailing Phone/Fax
| Phone: | 5108474858 |
| Fax: |