Wellness Psychology, Llc | |
3228 Hillcrest Park Dr Medford OR 97504-7657 | |
(541) 324-9621 | |
(541) 324-9621 |
Full Name | Wellness Psychology, Llc |
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Speciality | Community/Behavioral Health |
Location | 3228 Hillcrest Park Dr, Medford, Oregon |
Authorized Official Name and Position | Jared Cox (OWNER) |
Authorized Official Contact | 54132496213249621 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellness Psychology, Llc 3228 Hillcrest Park Dr Medford OR 97504-7657 Ph: (541) 324-9621 | Wellness Psychology, Llc 3228 Hillcrest Park Dr Medford OR 97504-7657 Ph: (541) 324-9621 |
NPI Number | 1932568425 |
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Provider Enumeration Date | 02/12/2016 |
Last Update Date | 02/12/2016 |
Medicare PECOS PAC ID | 2264738160 |
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Medicare Enrollment ID | O20160302001226 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932568425 | NPI | - | NPPES |
R174967 | Other | OR | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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