Samantha Rose Manduca, MSED, LPA

NPI #1780268847 in Rockwell, North Carolina

Provider Information

NPI Number: 1780268847
Entity Type: Individual
Name: Samantha Rose Manduca, MSED, LPA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: MSED, LPA
Enumeration Date: May 5, 2021
Last Updated: May 12, 2021

Practice Location

Address: 110A EAST MAIN STREET
City: Rockwell
State: North Carolina
ZIP Code: 28138
Phone: (704) 279-0626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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