MEDICARE: MARIA FAUSTINA SAMAYOA LLP

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
1	103T00000X	Psychologist	6361008161	MI

General Provider Information

NPI Number	:	1912858424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA FAUSTINA SAMAYOA LLP

Provider Business Mailing Address
First Line	:	2222 W GRAND RIVER AVE STE A
Second Line	:
City	:	OKEMOS
State	:	MI
Zip	:	48864-1604
Country	:	US
Telephone Number	:	248-781-0556
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 LIVERNOIS ST
Second Line	:
City	:	FERNDALE
State	:	MI
Zip	:	48220-2304
Country	:	US
Telephone Number	:	248-781-0556
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ MARIA FAUSTINA SAMAYOA LLP” Practice Location

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