Provider Demographics
NPI:1619758497
Name:DELANEY, SAMANTHA (MS, CRC)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:DELANEY
Suffix:
Gender:F
Credentials:MS, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 MILL ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13903-1967
Mailing Address - Country:US
Mailing Address - Phone:607-316-2079
Mailing Address - Fax:
Practice Address - Street 1:46 MILL ST APT 1
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13903-1967
Practice Address - Country:US
Practice Address - Phone:607-316-2079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY585474101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor