Female

Tara C. Samples PH.D, LCP

Clinical Psychologist in Memphis, TN(View on Map)

Full Name

Tara Collins Samples PH.D, LCP

NPI Number

1306929732

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/21/2006

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Illinois
Tennessee

License Number

07100827
3472

Contact
Information

Purpose

Mailing
Location

Address

100 CAMPUS VIEW DR
3362 S 3RD ST

City

Lincoln
Memphis

State

IL
TN

Postal Code

62656-2111
38109-2944

Country

US
US

Telephone Number

(678) 643-9371
(901) 701-2510

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/21/2022

Provider Address

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