Individual
JULIE E REDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1162 WILLAMETTE ST, EUGENE, OR 97401-3568
(541) 687-5609
(541) 687-6214
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1198
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077508
—
OR
Enumeration date
06/15/2006
Last updated
11/05/2007
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