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NPI Code Detail

MEDICARE: SAMUEL SCIOSCIA ED.S, M.A.

MEDICARE:   SAMUEL  SCIOSCIA  ED.S, M.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2103TS0200XSchool Psychologist

General Provider Information

NPI Number : 1306215421
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL SCIOSCIA ED.S, M.A.
Provider Business Mailing Address
First Line : 1108 BISSELL AVE
Second Line :
City : RICHMOND
State : CA
Zip : 94801-3135
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1108 BISSELL AVE
Second Line :
City : RICHMOND
State : CA
Zip : 94801-3135
Country : US
Telephone Number : 510-307-4630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2015
Last Update Date : 04/02/2026

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Directions to “ SAMUEL SCIOSCIA ED.S, M.A.” Practice Location

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