Brustad, Samantha

Brustad, Samantha is an individual health care provider with primary practice located at 9887 4Th St N Ste 319 , Saint Petersburg FL 33702-8445. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brustad, Samantha can be contacted via phone (727) 379-2807.

Contact Information

Primary practice address
9887 4Th St N Ste 319 Saint Petersburg FL 33702-8445
Phone: (727) 379-2807
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY10363 Florida

Profile Details

NPI number 1013554435
LBN Legal business name Brustad, Samantha
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2019
Last updated Apr 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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