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Individual

HEIDI DEPUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2601 25TH ST SE, SUITE 420, SALEM, OR 97302-1279
(503) 566-6533
(503) 566-9864
Mailing address
2250 D ST NE, SALEM, OR 97301-2768
(503) 364-6093
(503) 364-5121

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1797
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
498568427
MO
Enumeration date
01/30/2006
Last updated
03/02/2010
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