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

DR. SAM VICKERY, PH.D.

Active Sole Proprietor

DR. SAM VICKERY, PH.D. is a Marriage & Family Therapist healthcare provider located in RIVERSIDE, California. NPI 1710439591 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · RIVERSIDE, CA

Registration Details

NPI Number
1710439591
Provider Type
Individual
Gender
Male
NPI Issued
Oct 27, 2016 (9.8165354677549 yrs)
Last Updated
Oct 27, 2016
License
LMFT14375 (CA)
Sole Proprietor
Yes

Practice Information

Address
5015 CANYON CREST DR STE 112
RIVERSIDE, CA, 925076020
Browse CA providers · Browse ZIP 92507
Phone
9517810510
Fax
9517847711
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in RIVERSIDE, CA

Name Credential NPI
DR. CRISTIANNE QUIROS PH.D, MFT 1275532012
MS. MARSIE CAMPBELL MFT 1174513741
GRACE E USIGBE 1639110414
MRS. GEORGEA MADEIRA M.A., MFT 1699709865
MR. JUAN ANTONIO MORIEL LMFT 1033126453
TINA CHO LMFT 1801909601
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.