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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSIE SAM

Active Sole Proprietor

SUSIE SAM is a Community/Behavioral Health healthcare provider located in GALENA, Alaska. NPI 1629950563 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · GALENA, AK

Registration Details

NPI Number
1629950563
Provider Type
Individual
Gender
Female
NPI Issued
Jul 22, 2025 (0.88154634578054 yrs)
Last Updated
Jul 22, 2025
Sole Proprietor
Yes

Practice Information

Address
PO BOX 154
GALENA, AK, 997410154
Browse AK providers · Browse ZIP 99741
Phone
9076567215
Fax
9076567215
Primary Specialty
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.