Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samer Sam Shebak, TLLP

Individual provider Psychologist · NPI 1225636863

Samer Sam Shebak, TLLP is a Psychologist in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020
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Practice location Address checks out

3815 Pelham St Ste 13
Dearborn, MI 48124-3852
Phone: (313) 722-4683
Fax: (313) 241-9342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6362009243 (MI)

Record details

NPI number1225636863
Entity typeIndividual (Type 1)
GenderMale
Credentials TLLP
Sole proprietorNo
NPI enumeratedOctober 15, 2020
Last updated in NPPESOctober 15, 2020
Certification dateOctober 15, 2020
Mailing address3815 Pelham St Ste 13, Dearborn, MI 48124-3852

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