NPI 1336352194 · live from the CMS NPI Registry
David V. Baldwin, PhD
Psychologist, Clinical in Eugene, OR. National Provider Identifier 1336352194, active.
NPI record
| NPI | 1336352194 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 3003 Willamette, Eugene, OR 97405 |
| Practice phone | 541-686-2598 |
| Mailing address | Po Box 11143, Eugene, OR 97440 |
| Enumerated | May 8, 2007 |
| Last updated | December 20, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 0815 (OR) |
| Psychologist, Cognitive & Behavioral | 103TB0200X | 0815 (OR) |
| Psychologist, Clinical primary | 103TC0700X | 0815 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.