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NPI Code Detail

MEDICARE: MS. DEBORAH ANN SAMPSON M.S.

MEDICARE: MS. DEBORAH ANN SAMPSON M.S.
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 TherapistM10114NV

General Provider Information

NPI Number : 1396079299
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH ANN SAMPSON M.S.
Provider Business Mailing Address
First Line : 3243 E WARM SPRINGS RD
Second Line : SUITE 108
City : LAS VEGAS
State : NV
Zip : 89120-3185
Country : US
Telephone Number : 702-340-5452
Fax Number : 702-837-7329
Provider Business Practice Location Address
First Line : 3243 E WARM SPRINGS RD
Second Line : SUITE 108
City : LAS VEGAS
State : NV
Zip : 89120-3185
Country : US
Telephone Number : 702-340-5452
Fax Number : 702-837-7329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2009
Last Update Date : 09/27/2012

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