Organization
SALLY J GROSSCUP, PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIDY HELMS (OFFICE MANAGER)
(541) 343-2663
Entity
Organization
Contact information
Practice address
1210 PEARL ST, EUGENE, OR 97401-3573
(541) 343-2663
(541) 343-2663
Mailing address
1210 PEARL ST, EUGENE, OR 97401-3573
(541) 343-2663
(541) 343-2663
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
658
OR
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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