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)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