| Dr Benjamin Lee Giesbrecht, PSYD | |
|
8495 Crater Lake Hwy, White City, OR 97503-3011 | |
| (541) 826-2111 | |
| Not Available |
| Full Name | Dr Benjamin Lee Giesbrecht |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 8495 Crater Lake Hwy, White City, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417277211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2009004749 (Missouri) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2009004749 (Missouri) | Primary |
| Entity Name | Rogue Psych Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447727110 PECOS PAC ID: 1850632415 Enrollment ID: O20190408002460 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Lee Giesbrecht, PSYD 8495 Crater Lake Hwy, White City, OR 97503-3011 Ph: (541) 826-2111 | Dr Benjamin Lee Giesbrecht, PSYD 8495 Crater Lake Hwy, White City, OR 97503-3011 Ph: (541) 826-2111 |
Anne Marie Fischer Guzman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Dr. Erin Kathleen Anderson Fortier, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Dr. Terry J Brenner, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Theodore Zigelnik Stewart-franzen, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Dr. Hannah Elizabeth Casares, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Dr. Je T'aime Hood, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 |