Individual
JARED SPERONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(516) 305-1660
Mailing address
3669 LANDIS ST, WEST LINN, OR 97068-5616
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3433
OR
103TF0200X
Forensic Psychologist
Primary
3433
OR
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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