# LICENSED PSYCHOLOGY ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376083261
- **Authorized official:** DR. JUDATHA TEMPLE KLINE MA, MA, PHD, LMFT (MEMBER, LLC)
- **Authorized official phone:** (855) 583-2842

## Contact information

- **Practice address:** 9123 SE SAINT HELENS ST STE 270B, CLACKAMAS, OR 97015-6801
- **Practice address phone:** (855) 583-2842
- **Practice address fax:** (503) 678-9751
- **Mailing address:** 9123 SE SAINT HELENS ST STE 270B, CLACKAMAS, OR 97015-6801
- **Mailing address phone:** (855) 583-2842
- **Mailing address fax:** (503) 678-9751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | T1048 | OR | Yes |

## Other

- **Enumeration date:** 02/27/2017
- **Last updated:** 02/27/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1184749442 | NPPES FOR JUDATHA KLINE, PH.D. LMFT | — |