Organization
LICENSED PSYCHOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDATHA TEMPLE KLINE MA, MA, PHD, LMFT (MEMBER, LLC)
(855) 583-2842
Entity
Organization
Contact information
Practice address
9123 SE SAINT HELENS ST STE 270B, CLACKAMAS, OR 97015-6801
(855) 583-2842
(503) 678-9751
Mailing address
9123 SE SAINT HELENS ST STE 270B, CLACKAMAS, OR 97015-6801
(855) 583-2842
(503) 678-9751
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1048
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184749442
NPPES FOR JUDATHA KLINE, PH.D. LMFT
—
Enumeration date
02/27/2017
Last updated
02/27/2017
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