Healthcare Provider Details

I. General information

NPI: 1407793573
Provider Name (Legal Business Name): SAMANTHA GUY PSY.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420, 174 FL-7 106
ROYAL PALM BEACH FL
33467-1007
US

IV. Provider business mailing address

31 TAM O SHANTER LN
BOCA RATON FL
33431-3904
US

V. Phone/Fax

Practice location:
  • Phone: 561-568-9367
  • Fax:
Mailing address:
  • Phone: 561-350-6842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberSS1823
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: