Samantha Lynn Eldred, MA LLP CAADC
Psychologist, Clinical in Royal Oak, MI. Individual provider (NPI-1).
NPI number1730438581
StatusActive
Last updated in NPPESOct 17, 2018
Details
- NPI
- 1730438581
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Samantha Lynn Eldred
- Credential
- MA LLP CAADC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2012
- Last updated
- Oct 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6301015585 | MI | Yes |
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | C-03096 | MI |
Practice location
117 W 3rd StRoyal Oak, MI 48067-3831
Phone 248-965-6605
Mailing address
117 W 3rd StRoyal Oak, MI 48067-3831
Phone 248-965-6605
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