Individual
DR. BRYAN D NESTRIPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
Mailing address
2041 OAK HILL RD, ROSEBURG, OR 97471-9657
(435) 841-0018
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1302820-2501
UT
Other
Enumeration date
08/30/2006
Last updated
08/19/2011
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