Individual
DR. SUSAN OWRE GELBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2605 STATE STREET, OREGON STATE PENITENTIARY, SALEM, OR 97310
(541) 745-5549
Mailing address
2553 NW MICHELLE DRIVE, CORVALLIS, OR 97330
(541) 745-5549
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1677
OR
103TC0700X
Clinical Psychologist
071004327
IL
Other
Enumeration date
10/11/2006
Last updated
07/26/2007
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