Individual
LAUREN VAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1175 E MAIN ST STE 1C, MEDFORD, OR 97504-7457
(541) 772-0127
(541) 772-0996
Mailing address
1750 NEBRASKA AVE, GRANTS PASS, OR 97527-5700
(541) 956-4943
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3133
OR
Other
Enumeration date
07/31/2017
Last updated
10/16/2019
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