Mickey J Price, PSY.D.

NPI #1942573282 in Brookings, Oregon

Provider Information

NPI Number: 1942573282
Entity Type: Individual
Name: Mickey J Price, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSY.D.
Enumeration Date: Feb 16, 2012
Last Updated: Feb 16, 2012

Practice Location

Address: 919 7TH ST
City: Brookings
State: Oregon
ZIP Code: 97415-9209
Phone: (541) 787-8776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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