| Therytales Psychological Associates, Llc | |
|
388 State St Ste 704 Salem OR 97301-4023 | |
| (503) 217-4224 | |
| Not Available |
| Full Name | Therytales Psychological Associates, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 388 State St Ste 704, Salem, Oregon |
| Authorized Official Name and Position | Ashley M.w. Scott (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5032174224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therytales Psychological Associates, Llc 24318 Starr Creek Rd Corvallis OR 97333-9541 Ph: (503) 217-4224 | Therytales Psychological Associates, Llc 388 State St Ste 704 Salem OR 97301-4023 Ph: (503) 217-4224 |
| NPI Number | 1093439101 |
|---|---|
| Provider Enumeration Date | 10/03/2022 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093439101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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