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NPI Code Detail

MEDICARE: KATHLEEN SAMMANN LMFT-A

MEDICARE: KATHLEEN SAMMANN LMFT-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
1106H00000XMarriage & Family Therapist202979TX

General Provider Information

NPI Number : 1003373135
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN SAMMANN LMFT-A
Provider Business Mailing Address
First Line : 7711 WOLVERINE ST
Second Line :
City : AUSTIN
State : TX
Zip : 78757-1549
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13706 N HIGHWAY 183 STE 114
Second Line :
City : AUSTIN
State : TX
Zip : 78750-1838
Country : US
Telephone Number : 512-649-7050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2019
Last Update Date : 02/25/2019

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Directions to “ KATHLEEN SAMMANN LMFT-A” Practice Location

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