SAM L BANSAL

PORTERVILLE, CA
NPI1104256478
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TF0200X Psychologist, Forensic
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2013-11-22
Last Update Date2013-11-22
Business Address
Dr. SAM L BANSAL
667 FAIRHAVEN CIR
PORTERVILLE, CA 93257-2025
Phone number: 805-712-1023
Mailing Address
Dr. SAM L BANSAL
667 FAIRHAVEN CIR
PORTERVILLE, CA 93257-2025
Phone number: 805-712-1023
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