DR. Wayne D Samuelson, PHD
NPI #1821068966 in Fargo, North Dakota
Provider Information
- NPI Number
- 1821068966
- Entity Type
- Individual
- Name
- DR. Wayne D Samuelson, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PHD
- Enumeration Date
- Jan 23, 2006
- Last Updated
- Nov 7, 2007
Practice Location
- Address
- 1351 PAGE DR S STE 105
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-3536
- Phone
- (701) 893-3419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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