Lookup NPI Numbers from the NPI Registry
NPI Profile for SAMANTHA MIZOCK in PARK RIDGE, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Rehabilitation |
103TR0400X | 62 | Psychologist, Clinical |
| NPI Number | 1255051892 |
|
| Status | Active | |
| Credentials | LCPC (Licensed Clinical Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 09/01/2022 | |
| Last updated | 01/29/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SAMANTHA MIZOCK
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SAMANTHA MIZOCK, LCPC