| Rebecca Breiholz Phd Llc | |
|
208 Oak St Ste 303 Ashland OR 97520-1872 | |
| (541) 890-5606 | |
| Not Available |
| Full Name | Rebecca Breiholz Phd Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 208 Oak St Ste 303, Ashland, Oregon |
| Authorized Official Name and Position | Rebecca Breiholz (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5418905606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Breiholz Phd Llc 208 Oak St Ste 303 Ashland OR 97520-1872 Ph: (541) 890-5606 | Rebecca Breiholz Phd Llc 208 Oak St Ste 303 Ashland OR 97520-1872 Ph: (541) 890-5606 |
| NPI Number | 1174291215 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 09/24/2021 |
| Certification Date | 09/24/2021 |
| Medicare PECOS PAC ID | 0648677237 |
|---|---|
| Medicare Enrollment ID | O20210923003854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174291215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Rebecca C Breiholz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992008064 PECOS PAC ID: 9638344989 Enrollment ID: I20111214000843 |
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