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NPI Code Detail

MEDICARE: DR. SAMANTHA NOELLE HELLBERG PHD

MEDICARE: DR. SAMANTHA NOELLE HELLBERG PHD
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
1103T00000XPsychologistPSYC.PY.61639664WA

General Provider Information

NPI Number : 1487528634
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMANTHA NOELLE HELLBERG PHD
Provider Business Mailing Address
First Line : 6553 CALIFORNIA AVE SW STE B
Second Line :
City : SEATTLE
State : WA
Zip : 98136-1896
Country : US
Telephone Number : 206-705-3056
Fax Number :
Provider Business Practice Location Address
First Line : 6553 CALIFORNIA AVE SW STE B
Second Line :
City : SEATTLE
State : WA
Zip : 98136-1896
Country : US
Telephone Number : 206-705-3056
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2025
Last Update Date : 10/01/2025

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