Organization
KLAMATH PSYCHOLOGICAL ASSESSMENT SERVICES, INC.
Active
Organization
KLAMATH PSYCHOLOGICAL ASSESSMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DONNELL PH.D (PRESIDENT)
(541) 331-3814
Entity
Organization
Contact information
Practice address
2025 CALIFORNIA AVE, KLAMATH FALLS, OR 97601-2062
(541) 331-3814
Mailing address
2025 CALIFORNIA AVE, KLAMATH FALLS, OR 97601-2062
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1399
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292325
OMAP
OR
01
—
N35880
OREGON DEPT OF HUMAN SERV
OR
Enumeration date
01/01/2007
Last updated
08/22/2020
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