NPI 1801067491 · live from the CMS NPI Registry
Applegate Psychology & Assoc, LLC
Psychologist, Clinical in Sutherlin, OR. National Provider Identifier 1801067491, active.
NPI record
| NPI | 1801067491 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1739 Garnet Ave, Sutherlin, OR 97479 |
| Practice phone | 541-459-0907 |
| Enumerated | March 21, 2008 |
| Last updated | March 21, 2008 |
| Authorized official | Cheryl Gifford, Psychologist/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 1309 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.