Organization
LEAH B. SCHOCK PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEAH B SCHOCK PH.D. (MEMBER)
(541) 678-5164
Entity
Organization
Contact information
Practice address
975 SW COLORADO AVE STE 100, BEND, OR 97702-3155
(541) 678-5164
(541) 678-5017
Mailing address
975 SW COLORADO AVE STE 100, BEND, OR 97702-3155
(541) 678-5164
(541) 678-5017
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1492
OR
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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