Individual
STEVEN E MUSSACK I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1973 GARDEN AVE, EUGENE, OR 97403-1934
(541) 343-7643
(541) 344-5255
Mailing address
1973 GARDEN AVE, EUGENE, OR 97403-1934
(541) 343-7643
(541) 344-5255
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
822
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087239
—
OR
Enumeration date
10/19/2006
Last updated
07/08/2007
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