Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN SAMUEL
Active Sole ProprietorBENJAMIN SAMUEL is a Exercise & Sports Psychologist healthcare provider located in LEESBURG, Virginia. NPI 1730930819 is currently active in the NPPES registry. Verify at CMS.
Exercise & Sports Psychologist · LEESBURG, VA
Registration Details
- NPI Number
- 1730930819
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2024 (2.4095687934534 yrs)
- Last Updated
- Mar 28, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1308 BARKSDALE DR NELEESBURG, VA, 201764904Browse VA providers · Browse ZIP 20176
- Phone
- 5715289278
- Primary Specialty
-
Exercise & Sports Psychologist
103TE1100X
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.