IndividualActive
Benjamin Samuel
NPI 1730930819 · Exercise & Sports Psychologist · Leesburg, VA
Provider details
- NPI number
- 1730930819
- Entity type
- Individual
- Primary specialty
- Exercise & Sports PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
1308 Barksdale Dr Ne
Leesburg, VA 20176-4904
Registry dates
- Enumerated
- 2024-03-28
- Last updated
- 2024-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.