Organization
CENTER FOR WELLNESS PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORIE DECARVALHO PHD (PRESIDENT/ OWNER)
(541) 315-3441
Entity
Organization
Contact information
Practice address
219 NW E ST STE NE, GRANTS PASS, OR 97526-2045
(541) 315-3441
Mailing address
PO BOX 1268, GRANTS PASS, OR 97528-0313
(541) 315-3441
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
12/06/2024
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