NPI 1902104912 · live from the CMS NPI Registry
Kyle Ahlf, PsyD
Psychologist, Clinical in Bend, OR. National Provider Identifier 1902104912, active.
NPI record
| NPI | 1902104912 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 516 Sw 13th St Ste 201, Bend, OR 97702 |
| Practice phone | 541-640-3031 |
| Enumerated | March 1, 2011 |
| Last updated | June 18, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 3014 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.