| Applegate Psychology & Assoc, Llc | |
|
1739 Garnet Ave Sutherlin OR 97479-9677 | |
| (541) 459-0907 | |
| (541) 459-0907 |
| Full Name | Applegate Psychology & Assoc, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1739 Garnet Ave, Sutherlin, Oregon |
| Authorized Official Name and Position | Cheryl Anne Gifford (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 5414590907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Applegate Psychology & Assoc, Llc 1739 Garnet Ave Sutherlin OR 97479-9677 Ph: (541) 459-0907 | Applegate Psychology & Assoc, Llc 1739 Garnet Ave Sutherlin OR 97479-9677 Ph: (541) 459-0907 |
| NPI Number | 1801067491 |
|---|---|
| Provider Enumeration Date | 03/21/2008 |
| Last Update Date | 03/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801067491 | NPI | - | NPPES |
| 181430 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1309 (Oregon) | Primary |
Cha - Thereputic Learing Classroom Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 E Third Ave, Sutherlin, OR 97479 Phone: 541-440-3532 Fax: 541-440-3554 |