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NPI Profile for Dr SAM L BANSAL in PORTERVILLE, CA.
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Forensic |
103TF0200X | 62 | Psychologist, Clinical | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker |
| NPI Number | 1104256478 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/22/2013 | |
| Last updated | 11/22/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SAM L BANSAL
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SAM L BANSAL