| Viva Wheaton Psyd Llc | |
|
603 E. Hancock St Newberg OR 97132 | |
| (503) 860-5874 | |
| Not Available |
| Full Name | Viva Wheaton Psyd Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 603 E. Hancock St, Newberg, Oregon |
| Authorized Official Name and Position | Viva Wheaton (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5038605874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viva Wheaton Psyd Llc 16485 Ne Leander Dr Sherwood OR 97140-8579 Ph: (503) 860-5874 | Viva Wheaton Psyd Llc 603 E. Hancock St Newberg OR 97132 Ph: (503) 860-5874 |
| NPI Number | 1093278111 |
|---|---|
| Provider Enumeration Date | 04/08/2019 |
| Last Update Date | 10/14/2020 |
| Certification Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093278111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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