Individual
DR. NANCY KATHRYN RAVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1193 PEARL ST, EUGENE, OR 97401-3521
(541) 321-6821
Mailing address
330 S GARDEN WAY STE 190, EUGENE, OR 97401-8184
(541) 321-6821
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2630
OR
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
22215
OR
Other
Enumeration date
08/15/2012
Last updated
01/26/2024
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