Individual
DR. CODY CHRISTOPHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1250 SISKIYOU BLVD, PSYCHOLOGY DEPARTMENT, ASHLAND, OR 97520-5001
(541) 552-8491
(541) 552-6988
Mailing address
1250 SISKIYOU BLVD, PSYCHOLOGY DEPARTMENT, ASHLAND, OR 97520-5001
(541) 552-8491
(541) 552-6988
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2443
OR
103TC0700X
Clinical Psychologist
Primary
2443
OR
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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