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Individual

ROBIN M. HERTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1901 GARDEN AVE STE 116, EUGENE, OR 97403-1934
(541) 321-6778
Mailing address
1901 GARDEN AVE STE 116, EUGENE, OR 97403-1934
(541) 321-6778

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
3278
OR
103TC0700X
Clinical Psychologist
Primary
3278
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500702565
OR
Enumeration date
06/23/2015
Last updated
07/18/2023
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