Individual
DR. LORIE T DECARVALHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
219 NW E ST STE NE, GRANTS PASS, OR 97526-2045
(541) 315-3441
Mailing address
PO BOX 1268, GRANTS PASS, OR 97528-0313
(541) 315-3441
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1865
OR
Other
Enumeration date
06/04/2006
Last updated
12/06/2024
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