Individual
MARIBETH KALLEMEYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
185 13TH ST NE, SALEM, OR 97301
(503) 371-2890
Mailing address
185 13TH ST NE, SALEM, OR 97301
(503) 371-2890
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1279
OR
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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