| Samantha Zylstra | |
|
50 S Main St Naperville IL 60540-5484 | |
| (415) 585-3132 | |
| Not Available |
| Full Name | Samantha Zylstra |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 50 S Main St, Naperville, Illinois |
| Authorized Official Name and Position | Samantha Zylstra (OWNER) |
| Authorized Official Contact | 4155853132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Zylstra 50 S Main St Naperville IL 60540-5484 Ph: (415) 585-3132 | Samantha Zylstra 50 S Main St Naperville IL 60540-5484 Ph: (415) 585-3132 |
| NPI Number | 1679928253 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 05/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679928253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 166.000962 (Illinois) | Primary |
| 106H00000X | Marriage & Family Therapist | 44677 (California) | Secondary |
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