Samantha Wilson, LPA

NPI #1912692104 in Terrell, Texas

Provider Information

NPI Number: 1912692104
Entity Type: Individual
Name: Samantha Wilson, LPA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: LPA
Enumeration Date: Apr 5, 2023
Last Updated: Aug 10, 2023

Practice Location

Address: 127 FAIRMEADE DR
City: Terrell
State: Texas
ZIP Code: 75160-4513
Phone: (469) 560-8696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Psychologist	103T00000X	Primary

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Organizations

Provider Name	Specialty	City
Health and Human Services Commission	Psychologist	Terrell	AI Deep Dive

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