Doctor Name: | DR. THERESA UCHISON |
NPI Number: | 1295989184 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 1922 |
Business Practice Address: | 9300 Se 91st Ave Ste 200 Happy Valley, OR - 970863762 |
Business Phone Number: | 5032611171 |
Business Fax Number: | 5032535989 |
Mailing Address: | 9300 Se 91st Ave Ste 200, HAPPY VALLEY |
State: | OR |
Postal Code: | 970863762 |
Phone Number: | 5032611171 |
Fax Number: | 5032535989 |
NPI Enumeration Date: | 11/05/2008 |
NPI Last Update Date: | 03/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |