Provider Demographics
NPI:1619850021
Name:SAMUEL, LEMMEW R (PHD)
Entity type:Individual
Prefix:
First Name:LEMMEW
Middle Name:R
Last Name:SAMUEL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:LEMMEW
Other - Middle Name:R
Other - Last Name:SAMUEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DR LEMMEW SAMUEL
Mailing Address - Street 1:1241 E 103RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4501
Mailing Address - Country:US
Mailing Address - Phone:347-647-1718
Mailing Address - Fax:
Practice Address - Street 1:1241 E 103RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4501
Practice Address - Country:US
Practice Address - Phone:347-647-1718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling