Matthew J Ditty, PSYD | |
305 Ne E St Ste 200b, Grants Pass, OR 97526-2163 | |
(541) 226-4396 | |
Not Available |
Full Name | Matthew J Ditty |
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Gender | Male |
Speciality | Psychologist |
Location | 305 Ne E St Ste 200b, Grants Pass, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760750319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 3658 (Oregon) | Primary |
Entity Name | Southern Oregon Psychological Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245946110 PECOS PAC ID: 6406220615 Enrollment ID: O20230329001485 |
Mailing Address | Practice Location Address |
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Matthew J Ditty, PSYD 305 Ne E St Ste 200b, Grants Pass, OR 97526-2163 Ph: (541) 226-4396 | Matthew J Ditty, PSYD 305 Ne E St Ste 200b, Grants Pass, OR 97526-2163 Ph: (541) 226-4396 |
Ms. Connie Jo Harris, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1215 Sw G St, Grants Pass, OR 97526 Phone: 541-476-2373 Fax: 541-476-1526 | |
Dr. Ellen Joan Fineberg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 217 Ne C St, Grants Pass, OR 97526 Phone: 541-846-0590 Fax: 541-846-0590 | |
Dr. Michael Stephen Safko, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 777 Ne 7th St, Grants Pass, OR 97526 Phone: 541-471-8840 | |
Grant Clement Rawlins, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 207 Sw G St, Grants Pass, OR 97526 Phone: 541-471-1046 Fax: 541-471-1046 | |
Jody Guggia, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 322 Nw F St, Grants Pass, OR 97526 Phone: 541-476-4248 | |
Dr. Claudia Katherine Lake, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 228 Nw B St, Upper Unit, Grants Pass, OR 97526 Phone: 541-761-6764 Fax: 541-592-6479 | |
Dr. Alvin R. Kubat, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1201 Ne 7th St, Suite C, Grants Pass, OR 97526 Phone: 541-450-5676 |