| Kosmos Psychology | |
|
2355 State St Ste 101 Salem OR 97301-4541 | |
| (503) 714-1144 | |
| Not Available |
| Full Name | Kosmos Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 2355 State St Ste 101, Salem, Oregon |
| Authorized Official Name and Position | Kat Prince Kosmos (OWNER) |
| Authorized Official Contact | 5037141144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kosmos Psychology 2355 State St Ste 101 Salem OR 97301-4541 Ph: () - | Kosmos Psychology 2355 State St Ste 101 Salem OR 97301-4541 Ph: (503) 714-1144 |
| NPI Number | 1073331252 |
|---|---|
| Provider Enumeration Date | 09/27/2024 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073331252 | NPI | - | NPPES |
| 1629567599 | Medicaid | OR |
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