Individual
DR. BRIAN DANIEL HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(866) 572-8522
Mailing address
PO BOX 8189, SALEM, OR 97303-0255
(866) 572-8522
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1926
OR
103TC2200X
Clinical Child & Adolescent Psychologist
1926
OR
103TF0200X
Forensic Psychologist
1926
OR
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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