| Center For Wellness Psychology, Llc | |
|
219 Nw E St Ste Ne Grants Pass OR 97526-2045 | |
| (541) 315-3441 | |
| Not Available |
| Full Name | Center For Wellness Psychology, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 219 Nw E St Ste Ne, Grants Pass, Oregon |
| Authorized Official Name and Position | Lorie Decarvalho (PRESIDENT/ OWNER) |
| Authorized Official Contact | 5413153441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Wellness Psychology, Llc Po Box 1268 Grants Pass OR 97528-0313 Ph: (541) 315-3441 | Center For Wellness Psychology, Llc 219 Nw E St Ste Ne Grants Pass OR 97526-2045 Ph: (541) 315-3441 |
| NPI Number | 1528813862 |
|---|---|
| Provider Enumeration Date | 04/19/2024 |
| Last Update Date | 12/06/2024 |
| Certification Date | 12/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528813862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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