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NPI Code Detail

MEDICARE: DR. SAMANTHA APRIL PSY.D.

MEDICARE: DR. SAMANTHA APRIL PSY.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program
2103TC0700XClinical Psychologist071010705IL

General Provider Information

NPI Number : 1336795707
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMANTHA APRIL PSY.D.
Provider Business Mailing Address
First Line : 5048 N MARINE DR APT B6
Second Line :
City : CHICAGO
State : IL
Zip : 60640-3209
Country : US
Telephone Number : 847-204-0344
Fax Number :
Provider Business Practice Location Address
First Line : 333 N MICHIGAN AVE STE 2400
Second Line :
City : CHICAGO
State : IL
Zip : 60601-4040
Country : US
Telephone Number : 708-232-3573
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2019
Last Update Date : 01/17/2022

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