| Sampson Pa | |
|
914 Minnesota St Hibbing MN 55746 | |
| (218) 262-4453 | |
| Not Available |
| Full Name | Sampson Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 914 Minnesota St, Hibbing, Minnesota |
| Authorized Official Name and Position | Raymond N Sampson (CEO OWNER) |
| Authorized Official Contact | 2182624453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sampson Pa 225 1st St N Suite 3100 Virginia MN 55792 Ph: (218) 741-3740 | Sampson Pa 914 Minnesota St Hibbing MN 55746 Ph: (218) 262-4453 |
| NPI Number | 1174738215 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174738215 | NPI | - | NPPES |
| 6118559 | Other | MN | UBH |
| 8L848SA | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP1373 (Minnesota) | Primary |
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