Most Relevant Information
Provider Data
| NPI Number: | 1003435041 |
| Provider Name: | SAMANTHA POLANSKY LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 149456 |
Most Important Dates
| Enumeration Date: | 04/09/2020 |
| Last Updated: | 09/26/2024 |
Provider Practice Location
623 AVIATION WAY APT B
MANHATTAN BEACH
CA
902667164
Practice Location Phone/Fax
| Phone: | 8184394301 |
| Fax: |
Provider Mailing Location
623 AVIATION WAY APT B
MANHATTAN BEACH
CA
902667164
Provider Mailing Phone/Fax
| Phone: | 8184394301 |
| Fax: |