NPI 1992196810 · live from the CMS NPI Registry
Samuel Haskin Aley, MS
Psychologist, School in Coos Bay, OR. National Provider Identifier 1992196810, active.
NPI record
| NPI | 1992196810 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, School 103TS0200X |
| Practice location | 678 14th Ct, Coos Bay, OR 97420 |
| Practice phone | 541-260-2106 |
| Mailing address | Po Box 4301, Coos Bay, OR 97420 |
| Enumerated | February 13, 2015 |
| Last updated | December 15, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, School primary | 103TS0200X | 70492 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.