Southern Oregon Neuropsychological Clinic Llc is a Counselor Clinic in Medford, Oregon. It is located at 837 Alder Creek Dr, Medford, OR and its contact number is 541-608-3878. The authorized person for Southern Oregon Neuropsychological Clinic Llc is Dr. Michael R Villanueva
who is Owner of the clinic and his/her contact number is 541-608-3878. Southern Oregon Neuropsychological Clinic Llc Clinic has individuals who are licensure in clinical psychology and has done specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology. Neuropsychology is a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Complete Clinic Profile:
Southern Oregon Neuropsychological Clinic Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Southern Oregon Neuropsychological Clinic Llc
Specialization:
Clinical Neuropsychologist
Clinic Address:
837 Alder Creek Dr, Medford, Oregon, 97504
Phone:
541-608-3878
Fax:
541-608-3880
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Michael R Villanueva
Position:
Owner
Contact Number:
541-608-3878
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southern Oregon Neuropsychological Clinic Llc clinic are as mentioned below.
NPI Number:
1588726939
NPI Enumeration Date:
14 Dec, 2006
NPI Last Update On:
16 Jul, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern Oregon Neuropsychological Clinic Llc are as mentioned below.
Specialization
License Number
State
Status
Clinical Neuropsychologist
Primary
Clinical
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
042601
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Southern Oregon Neuropsychological Clinic Llc at 837 Alder Creek Dr, Medford, Oregon or can call to book an appointment on 541-608-3878. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.