Dr Samantha Mann, PSYD is a
Psychologist - Clinical based in Boulder, Colorado. Dr Samantha Mann is licensed to practice in Colorado (license number PSY.0004481) and her current practice location is
255 Canyon Blvd, Suite 200, Boulder, Colorado. She can be reached at her office (for appointments etc.) via phone at
(303) 474-4055.
NPI number for Dr Samantha Mann is 1629510649 and her current mailing address is 255 Canyon Blvd, Suite 200, Boulder, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629510649.
Healthcare Provider's Profile
| Full Name | Dr Samantha Mann |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
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| Location | 255 Canyon Blvd, Boulder, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629510649
- Provider Enumeration Date: 11/08/2016
- Last Update Date: 01/15/2018
Medical Identifiers
Medical identifiers for Dr Samantha Mann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629510649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | PSY.0004481 (Colorado) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY.0004481 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samantha Mann is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Samantha Mann, PSYD
255 Canyon Blvd, Suite 200,
Boulder, CO 80302-4979
Ph: () - | Dr Samantha Mann, PSYD
255 Canyon Blvd, Suite 200,
Boulder, CO 80302-4979
Ph: (303) 474-4055 |
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