Individual
DR. REBECCA SUSANNE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1165 PEARL ST STE 105, EUGENE, OR 97401-5652
(541) 357-9412
Mailing address
PO BOX 40156, EUGENE, OR 97404-0023
(541) 357-9412
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2201
OR
103T00000X
Psychologist
PSY19864
CA
103TC1900X
Counseling Psychologist
2201
OR
Other
Enumeration date
03/06/2007
Last updated
12/01/2025
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