| Southside Psychology Services Pc | |
|
5 E 24th Ave Eugene OR 97405-2907 | |
| (541) 484-0611 | |
| (541) 431-7006 |
| Full Name | Southside Psychology Services Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5 E 24th Ave, Eugene, Oregon |
| Authorized Official Name and Position | Julie Ann Williams (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 5414840611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Psychology Services Pc Po Box 5803 Eugene OR 97405-0803 Ph: (541) 484-0611 | Southside Psychology Services Pc 5 E 24th Ave Eugene OR 97405-2907 Ph: (541) 484-0611 |
| NPI Number | 1932433463 |
|---|---|
| Provider Enumeration Date | 10/01/2009 |
| Last Update Date | 10/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932433463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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