Individual
DR. LOUISE BRONAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
132 E BROADWAY STE 332, EUGENE, OR 97401-3155
(541) 633-9296
Mailing address
5355 SARATOGA ST, EUGENE, OR 97405-4067
(541) 633-9296
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3814
OR
103TS0200X
School Psychologist
105462
OR
Other
Enumeration date
09/14/2021
Last updated
09/24/2024
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