Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 61072395 | WA |
NPI | 1003104100 |
---|---|
Provider Name | Dr. Hillel Samlan |
First Address | Tacoma, WA 98493-0003 |
Second Address | Tacoma, WA 98493-0003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2011 |
Last Update Date | 09/11/2020 |