Mary Susan Sams in Evanston - Clinical Child & Adolescent
Mary Susan Sams - NPI 1962621672
Mary Susan Sams is a Clinical Child & Adolescent in Evanston, Illinois. Mary Susan Sams practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Mary Susan Sams is 1962621672. The last update date is 2007-07-08.
Mary Susan Sams's current location address is 708 Church St, Evanston, Illinois. You can contact this provider via phone number 8472933385. The mailing address for Mary Susan Sams is 708 Church St, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Susan Sams |
|---|---|
| Address | 708 Church St, Evanston, Illinois |
| Phone Number | 8472933385 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1962621672 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 708 Church St |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602013875 |
| Phone Number | 8472933385 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the Mary Susan Sams's 1962621672?
The Mary Susan Sams's NPI (National Provider Identifier) Number is 1962621672. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mary Susan Sams is geographically located?
The Mary Susan Sams is physically situated at the following location: 708 Church St, Evanston, IL, 602013875.
What is the area of specialization for Mary Susan Sams, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Susan Sams is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962621672 to Mary Susan Sams?
The Centers for Medicare & Medicaid Services originally issued the 1962621672 to Mary Susan Sams on 2007-04-24.
As of what date were the details pertaining to Mary Susan Sams last refreshed?
The information related to the Mary Susan Sams, including its address, specialty, and other relevant details, was last updated on 2007-07-08.