NPI 1285001198 · live from the CMS NPI Registry
Terra Bennett-Reeves, PsyD
Psychologist, Clinical in Corvallis, OR. National Provider Identifier 1285001198, active.
NPI record
| NPI | 1285001198 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 3517 Nw Samaritan Dr Ste 201, Corvallis, OR 97330 |
| Practice phone | 541-768-5142 |
| Mailing address | Po Box 1189, Corvallis, OR 97339 |
| Enumerated | August 26, 2015 |
| Last updated | January 14, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 3091 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.