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SAMUEL JOHN HUBER MD NPI 1972645026


NPI Information

NPI: 1972645026
Provider Name: SAMUEL JOHN HUBER, MD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Organization: UNIVERSITY OF ROCHESTER

PECOS Registration: Yes

Address:
325 E PIONEER
PUYALLUP, WA
ZIP 98372
Phone: (253) 697-8400
Get Directions

Samuel John Huber, MD is a clinical neuropsychologist in Puyallup, WA with 20 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Samuel John Huber, MD NPI is 1972645026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduation Year:2004

The provider's business location address is:

325 E PIONEER
PUYALLUP, WA
ZIP 98372-265
Phone: (253) 697-8400
Fax: (253) 697-3730

The NPI 1972645026 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 2/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry2004014337MISSOURINo
22084P0800XPsychiatry & NeurologyPsychiatry258121NEW YORKNo
3103G00000XClinical NeuropsychologistMD60620786WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103255194MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.