| Doctor Name: | SAMANTHA CIANI |
| NPI Number: | 1023427424 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 2557 |
| Business Practice Address: | 8629 Bluejacket St Suite 100 Lenexa, KS - 662141604 |
| Business Phone Number: | 9136773553 |
| Business Fax Number: | 9136773282 |
| Mailing Address: | 8629 Bluejacket St, Suite 100 LENEXA |
| State: | KS |
| Postal Code: | 662141604 |
| Phone Number: | 9136773553 |
| Fax Number: | 9136773282 |
| NPI Enumeration Date: | 08/11/2014 |
| NPI Last Update Date: | 01/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2557 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |