Organization
VICKI LUMLEY, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI A LUMLEY PH.D. (OWNER)
(253) 549-9917
Entity
Organization
Contact information
Practice address
724 SOUTH CENTRAL AVE., SUITE 101, MEDFORD, OR 97501-7851
(206) 327-4854
(541) 843-2832
Mailing address
295 WELLS FARGO DR, JACKSONVILLE, OR 97530-9421
(206) 327-4854
(541) 843-2832
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 60310066
WA
Other
Enumeration date
08/07/2014
Last updated
07/21/2022
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