Byron D Samuel JR.
Cognitive & Behavioral Psychologist
8300 Utica Ave Ste 259
Rancho Cucamonga
, California 91730-3852
Byron D Samuel JR.
Cognitive & Behavioral Psychologist
8300 Utica Ave Ste 259
Rancho Cucamonga
, California 91730-3852
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Byron D Samuel JR.
- 1903 Windward Ct
- Perris, CA
- Zip : 92571-3818
- Phone :
Second Address
- Byron D Samuel JR.
- 8300 Utica Ave Ste 259
- Rancho Cucamonga, CA
- Zip : 91730-3852
- Fax : (909) 906-1508
- Phone : (909) 906-1505
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TB0200X | Cognitive & Behavioral Psychologist |
National Provider Identifier
| NPI | 1033649942 |
|---|---|
| Provider Name | Byron D Samuel JR. |
| First Address | Perris, CA 92571-3818 |
| Second Address | Rancho Cucamonga, CA 91730-3852 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2017 |
| Last Update Date | 13/06/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.