Individual
B.JOANN SCHECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3003 WILLAMETTE ST., SUITE F, EUGENE, OR 97405-3295
(541) 484-1063
Mailing address
3003 WILLAMETTE ST., SUITE F, EUGENE, OR 97405-3295
(541) 484-1063
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1121
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071824
—
OR
01
—
117881
MHN
OR
01
—
J326601
PACIFIC SOURCE
OR
Enumeration date
07/31/2006
Last updated
07/09/2007
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