Open Path Psychology, Llc | |
388 State St Ste 708 Salem OR 97301-4023 | |
(971) 273-1224 | |
(208) 321-4136 |
Full Name | Open Path Psychology, Llc |
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Speciality | Clinic/Center |
Location | 388 State St Ste 708, Salem, Oregon |
Authorized Official Name and Position | Carrie S Mcmullin (OWNER/PSYCHOLOGIST) |
Authorized Official Contact | 9712731224 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Open Path Psychology, Llc 388 State St Ste 708 Salem OR 97301-4023 Ph: (971) 273-1224 | Open Path Psychology, Llc 388 State St Ste 708 Salem OR 97301-4023 Ph: (971) 273-1224 |
NPI Number | 1295435048 |
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Provider Enumeration Date | 03/08/2023 |
Last Update Date | 03/08/2023 |
Certification Date | 03/08/2023 |
Medicare PECOS PAC ID | 7012352404 |
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Medicare Enrollment ID | O20240226000610 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295435048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Carrie Mcmullin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1326448481 PECOS PAC ID: 7113323163 Enrollment ID: I20240226000649 |
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