Corvallis Neuropsychology LLC

NPI #1174028294 in Corvallis, Oregon

Provider Information

NPI Number: 1174028294
Entity Type: Organization
Organization Name: Corvallis Neuropsychology LLC
Primary Specialty: Psychologist
Enumeration Date: Mar 29, 2018
Last Updated: Aug 15, 2019

Practice Location

Address: 408 SW MONROE AVE STE M210D
City: Corvallis
State: Oregon
ZIP Code: 97333-7228
Phone: (541) 216-4747

Authorized Official

Name: JULIEN GUILLAUMOT, PHD, MSCP, ABPP
Title: MEMBER/MANAGER
Phone: (541) 908-0223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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