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NPI Code Detail

MEDICARE: SAMANTHA HODGE

MEDICARE:   SAMANTHA  HODGE
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
1103TS0200XSchool PsychologistLEP4067CA

General Provider Information

NPI Number : 1538017819
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA HODGE
Provider Business Mailing Address
First Line : 948 NOTRE DAME AVE
Second Line :
City : CONCORD
State : CA
Zip : 94518-2533
Country : US
Telephone Number : 925-286-0061
Fax Number :
Provider Business Practice Location Address
First Line : 948 NOTRE DAME AVE
Second Line :
City : CONCORD
State : CA
Zip : 94518-2533
Country : US
Telephone Number : 925-286-0061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ SAMANTHA HODGE ” Practice Location

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