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Contact Information

CLARA M SAMUELSON
2649 TOWN CENTER BLVD N
SUGAR LAND, TX77479-2319
 Phone: 832-886-5878
 Fax: 218-565-2924
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
 

Behavior Analyst

103K00000X
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Professional

101YP2500X
 

School

101YS0200X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CLARA M SAMUELSON · (Female)

NPI # 1255563854
Status Active
Credentials
Entity Individual
Enumeration date 08/14/2009
Last updated 09/30/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 12661
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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