Elise Noel Bascom, PH.D.

NPI #1043853948 in Eugene, Oregon

Provider Information

NPI Number
1043853948
Entity Type
Individual
Name
Elise Noel Bascom, PH.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist
Credential
PH.D.
Enumeration Date
Oct 23, 2019
Last Updated
Feb 15, 2023

Practice Location

Address
1551 PEARL ST
City
Eugene
State
Oregon
ZIP Code
97401-4010
Phone
(541) 517-9733

Specialties & Taxonomy Codes

Specialty
Psychologist

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