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Stacy Ann Samuels, MSED
NPI 1992067755 · on the registry since 2012
Practice
- Address
- 8 Evergreen Cir
Dekalb, IL 60115 - Phone
- (773) 217-4907
- Organisation at this address
- Pyramid Behavioral Health Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 4024 Amboy Rd, Staten Island, NY
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois