| Licensed Psychology Associates Llc | |
|
9123 Se Saint Helens St Ste 270b Clackamas OR 97015-6801 | |
| (855) 583-2842 | |
| (503) 678-9751 |
| Full Name | Licensed Psychology Associates Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 9123 Se Saint Helens St Ste 270b, Clackamas, Oregon |
| Authorized Official Name and Position | Judatha Temple Kline (MEMBER, LLC) |
| Authorized Official Contact | 8555832842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Licensed Psychology Associates Llc 9123 Se Saint Helens St Ste 270b Clackamas OR 97015-6801 Ph: (855) 583-2842 | Licensed Psychology Associates Llc 9123 Se Saint Helens St Ste 270b Clackamas OR 97015-6801 Ph: (855) 583-2842 |
| NPI Number | 1376083261 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 02/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376083261 | NPI | - | NPPES |
| 1184749442 | Other | NPPES FOR JUDATHA KLINE, PH.D. LMFT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | T1048 (Oregon) | Primary |
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