Individual
TERRA BENNETT-REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3517 NW SAMARITAN DR STE 201, CORVALLIS, OR 97330-3769
(541) 768-5142
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3091
OR
Other
Enumeration date
08/26/2015
Last updated
01/14/2021
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