| Leah B. Schock Phd, Llc | |
|
975 Sw Colorado Ave Ste 100 Bend OR 97702-3155 | |
| (541) 678-5164 | |
| (541) 678-5017 |
| Full Name | Leah B. Schock Phd, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 975 Sw Colorado Ave Ste 100, Bend, Oregon |
| Authorized Official Name and Position | Leah B Schock (MEMBER) |
| Authorized Official Contact | 5416785164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leah B. Schock Phd, Llc 975 Sw Colorado Ave Ste 100 Bend OR 97702-3155 Ph: (541) 678-5164 | Leah B. Schock Phd, Llc 975 Sw Colorado Ave Ste 100 Bend OR 97702-3155 Ph: (541) 678-5164 |
| NPI Number | 1497010706 |
|---|---|
| Provider Enumeration Date | 07/12/2012 |
| Last Update Date | 07/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497010706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1492 (Oregon) | Primary |
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