Organization
APPLEGATE PSYCHOLOGY & ASSOC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL ANNE GIFFORD PHD (PSYCHOLOGIST/OWNER)
(541) 459-0907
Entity
Organization
Contact information
Practice address
1739 GARNET AVE, SUTHERLIN, OR 97479-9677
(541) 459-0907
(541) 459-0907
Mailing address
1739 GARNET AVE, SUTHERLIN, OR 97479-9677
(541) 459-0907
(541) 459-0907
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1309
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181430
—
OR
Enumeration date
03/21/2008
Last updated
03/21/2008
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