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KRISTIN WEAVER SAMUELSON PHD NPI 1528143153


NPI Information

NPI: 1528143153
Provider Name: KRISTIN WEAVER SAMUELSON, PHD
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
VETERANS HEALTH AND TRAUMA CLINIC
4863 N NEVADA AVE.
COLORADO SPRINGS, CO
ZIP 80918
Phone: (719) 255-8003
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Kristin Weaver Samuelson, PHD is a clinical psychologist in Colorado Springs, CO. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Kristin Weaver Samuelson, PHD NPI is 1528143153. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

VETERANS HEALTH AND TRAUMA CLINIC
4863 N NEVADA AVE.
COLORADO SPRINGS, CO
ZIP 80918
Phone: (719) 255-8003

The enumeration date for this NPI number is 10/25/2006 and was last updated on 6/22/2020.


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
1103T00000XPsychologistPSY17721CALIFORNIANo
2103TC0700XPsychologistClinical4424COLORADOYes

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: 4/28/2024

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