Benjamin Samuel
Benjamin Samuel is an Exercise & Sports Psychologist in Leesburg, Virginia. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1308 Barksdale Dr NELeesburg, VA 20176-4904
Phone: (571) 528-9278
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Specialties & licences
| Exercise & Sports Psychologist (primary) | Taxonomy 103TE1100X |
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Record details
| NPI number | 1730930819 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 28, 2024 |
| Last updated in NPPES | March 28, 2024 |
| Certification date | March 28, 2024 |
| Mailing address | 1308 Barksdale Dr Ne, Leesburg, VA 20176-4904 |