Provider Demographics
NPI:1932301751
Name:SINCLAIR, SAMUEL J (PHD - PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:J
Last Name:SINCLAIR
Suffix:
Gender:M
Credentials:PHD - PSYCHOLOGIST
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Mailing Address - Street 1:SAMUEL JUSTIN SINCLAIR, PH.D. PLLC
Mailing Address - Street 2:345 BOSTON POST ROAD, SUITE 3U
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776
Mailing Address - Country:US
Mailing Address - Phone:617-905-9908
Mailing Address - Fax:
Practice Address - Street 1:SAMUEL JUSTIN SINCLAIR, PH.D. PLLC
Practice Address - Street 2:345 BOSTON POST ROAD
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776
Practice Address - Country:US
Practice Address - Phone:617-905-9908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8893103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical