Individual
JACQUELINE J HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D. PC
Contact information
Practice address
22344 SW MAIN ST, SHERWOOD, OR 97140-9416
(503) 625-2768
(503) 625-3768
Mailing address
22344 SW MAIN ST, SHERWOOD, OR 97140-9416
(503) 625-2768
(503) 625-3768
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1328
OR
Other
Enumeration date
11/30/2005
Last updated
08/16/2019
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