Organization
SHOSHANA D KEREWSKY PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOSHANA DANIEL KEREWSKY PSYD (MANAGER)
(541) 852-1900
Entity
Organization
Contact information
Practice address
132 E BROADWAY STE 331, EUGENE, OR 97401-3154
(541) 852-1900
(541) 393-9144
Mailing address
PO BOX 843, EUGENE, OR 97440-0843
(541) 852-1900
(541) 393-9144
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/19/2018
Last updated
11/06/2019
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