Dr. Jacqueline A Samson, PHD
Psychologist, Cognitive & Behavioral in Belmont, Massachusetts
1467454652- Practice location
- 115 Mill St, Belmont, MA 02478-1041
- Phone
- 617-855-3348
- Fax
- 617-855-2936
- Last updated
- July 9, 2010
Jacqueline Anne Samson is a Psychologist, Cognitive & Behavioral based in Belmont, MA. Jacqueline Anne Samson practices in Belmont, MA and has the professional credentials of PHD. The NPI Number for Jacqueline Anne Samson is 1467454652 and holds a License No. 4522 (MA). The current practice location address for Jacqueline Anne Samson is 115 Mill St, Belmont, MA 02478-1041 and can be reached out via phone at 617-855-3348 and via fax at 617-855-2936.
Provider Profile Details
- NPI Number
- 1467454652
- Provider Name
- Jacqueline Anne Samson
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 115 Mill St, Belmont, MA 02478-1041
- Phone Number
- 617-855-3348
- Fax Number
- 617-855-2936
- Primary Taxonomy
- Psychologist, Cognitive & Behavioral · 103TB0200X
- Sole Proprietor
- Yes
- Other Names
- Ms. Jacqueline Anne Samson-Jain (Other Name)
- Provider Enumeration Date
- June 1, 2005
- Last Update Date
- July 9, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 115 Mill St
Belmont, MA 02478-1041 - City
- Belmont
- State
- Massachusetts
- Zip
- 02478-1041
- Phone Number
- 617-855-3348
- Fax Number
- 617-855-2936
Provider Business Mailing Address Details
- Address
- 115 Mill St
Belmont, MA 02478-1041 - City
- Belmont
- State
- MA
- Zip
- 02478-1041
- Phone Number
- 617-855-3348
- Fax Number
- 617-855-2936
License Information
- License Number (1)
- 4522
- License State (1)
- MA
- Taxonomy (1)
- Psychologist, Cognitive & Behavioral · 103TB0200X · Primary
- License Number (2)
- 4522
- License State (2)
- MA
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X
- License Number (3)
- 4522
- License State (3)
- MA
- Taxonomy (3)
- Psychologist · 103T00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jacqueline A Samson, PHD?
The NPI number of Dr. Jacqueline A Samson, PHD is 1467454652. It was assigned on June 1, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Jacqueline A Samson, PHD?
Dr. Jacqueline A Samson, PHD is registered under the primary taxonomy Psychologist, Cognitive & Behavioral (code 103TB0200X), licensed in MA under license number 4522.
Where does Dr. Jacqueline A Samson, PHD practice?
The practice location is 115 Mill St, Belmont, MA 02478-1041. The office can be reached at 617-855-3348 (phone) or 617-855-2936 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467454652 directly on the NPPES registry website.