Organization
SOUTHERN OREGON PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DITTY PSYD (OWNER)
(541) 226-4396
Entity
Organization
Contact information
Practice address
305 NE E ST STE 200B, GRANTS PASS, OR 97526-2163
(541) 226-4396
Mailing address
305 NE E ST STE 200B, GRANTS PASS, OR 97526-2163
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
05/23/2024
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