Organization
SALEM PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PATRICK MOONEY PH.D. (LICENSED PSYCHOLOGIST)
(503) 581-2351
Entity
Organization
Contact information
Practice address
325 13TH ST NE STE 502, SALEM, OR 97301-2203
(503) 581-2351
(503) 581-0125
Mailing address
325 13TH ST NE STE 502, SALEM, OR 97301-2203
(503) 581-2351
(503) 581-0125
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
OR1088
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629134531
—
OR
Enumeration date
03/26/2018
Last updated
03/26/2018
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