| Klamath Psychological Assessment Services, Inc. | |
|
2025 California Ave Klamath Falls OR 97601-2062 | |
| (541) 331-3814 | |
| Not Available |
| Full Name | Klamath Psychological Assessment Services, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2025 California Ave, Klamath Falls, Oregon |
| Authorized Official Name and Position | Susan Donnell (PRESIDENT) |
| Authorized Official Contact | 5413313814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klamath Psychological Assessment Services, Inc. 2025 California Ave Klamath Falls OR 97601-2062 Ph: () - | Klamath Psychological Assessment Services, Inc. 2025 California Ave Klamath Falls OR 97601-2062 Ph: (541) 331-3814 |
| NPI Number | 1164588273 |
|---|---|
| Provider Enumeration Date | 01/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164588273 | NPI | - | NPPES |
| 292325 | Other | OR | OMAP |
| N35880 | Other | OR | OREGON DEPT OF HUMAN SERV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1399 (Oregon) | Primary |
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