Organization
ACT II PSYCHOLOGY, INC.
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRILLHART PSYD (LICENSED PSYCHOLOGIST)
(503) 400-7500
Entity
Organization
Contact information
Practice address
4742 LIBERTY RD S # 699, SALEM, OR 97302-5037
(503) 400-7500
(503) 581-1069
Mailing address
4742 LIBERTY RD S # 699, SALEM, OR 97302-5037
(503) 400-7500
(503) 581-1069
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12252868
CAQH
OR
Enumeration date
07/23/2011
Last updated
07/31/2025
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