Provider Demographics
NPI:1669500567
Name:SAMAAN, WASSEEM A (PSYD ( PSYDOCTOR))
Entity Type:Individual
Prefix:DR
First Name:WASSEEM
Middle Name:A
Last Name:SAMAAN
Suffix:
Gender:M
Credentials:PSYD ( PSYDOCTOR)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4952 WARNER AVE
Mailing Address - Street 2:#221
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-4479
Mailing Address - Country:US
Mailing Address - Phone:951-218-0096
Mailing Address - Fax:562-386-6152
Practice Address - Street 1:4952 WARNER AVE
Practice Address - Street 2:#221
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-4479
Practice Address - Country:US
Practice Address - Phone:951-218-0096
Practice Address - Fax:562-386-6152
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2016-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSYD28649103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical