Jimenez, Samantha

Jimenez, Samantha is an individual health care provider with primary practice located at 13451 Se 36Th St , Bellevue WA 98006-1475. 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. Jimenez, Samantha can be contacted via phone (425) 562-1337.

Contact Information

Primary practice address
13451 Se 36Th St Bellevue WA 98006-1475
Phone: (425) 562-1337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MC60269765 Washington
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY60480722 Washington

Profile Details

NPI number 1619302072
LBN Legal business name Jimenez, Samantha
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2013
Last updated May 17th, 2021 - about 5 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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