| Integrative Psychological Services, Llc | |
|
5305 River Rd N Ste B Keizer OR 97303-5324 | |
| (248) 221-1670 | |
| Not Available |
| Full Name | Integrative Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5305 River Rd N Ste B, Keizer, Oregon |
| Authorized Official Name and Position | Cathleen M Lalonde (OWNER/CEO) |
| Authorized Official Contact | 2482211670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Psychological Services, Llc 2632 S Rochester Rd Unit 70924 Rochester Hills MI 48307-7941 Ph: (248) 221-1670 | Integrative Psychological Services, Llc 5305 River Rd N Ste B Keizer OR 97303-5324 Ph: (248) 221-1670 |
| NPI Number | 1932701620 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 11/14/2020 |
| Certification Date | 11/14/2020 |
| Medicare PECOS PAC ID | 2860804093 |
|---|---|
| Medicare Enrollment ID | O20201212000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932701620 | NPI | - | NPPES |
| Provider Name | Cathleen M. Lalonde |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538312111 PECOS PAC ID: 4880938315 Enrollment ID: I20191205001744 |
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