| Soleil Psychological, Llc | |
|
670 Superior Ct Ste 110 Medford OR 97504-6179 | |
| (541) 944-3938 | |
| Not Available |
| Full Name | Soleil Psychological, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 670 Superior Ct Ste 110, Medford, Oregon |
| Authorized Official Name and Position | Boyd David Sherbourne (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5419443938 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soleil Psychological, Llc 670 Superior Ct Ste 110 Medford OR 97504-6179 Ph: (541) 944-3938 | Soleil Psychological, Llc 670 Superior Ct Ste 110 Medford OR 97504-6179 Ph: (541) 944-3938 |
| NPI Number | 1245691328 |
|---|---|
| Provider Enumeration Date | 03/16/2016 |
| Last Update Date | 04/28/2016 |
| Medicare PECOS PAC ID | 8729387584 |
|---|---|
| Medicare Enrollment ID | O20160428001080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245691328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Boyd David Sherbourne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144463845 PECOS PAC ID: 5193024941 Enrollment ID: I20160428001035 |
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