| Organization Name: | APPLEGATE PSYCHOLOGY & ASSOC, LLC |
| NPI Number: | 1801067491 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERYL ANNE GIFFORD (PSYCHOLOGIST/OWNER) |
| Mailing Address: | 1739 Garnet Ave Sutherlin |
| State: | OR US |
| Postal Code: | 974799677 |
| Phone Number: | 5414590907 |
| Fax Number: | 5414590907 |
| NPI Enumeration Date: | 03/21/2008 |
| NPI Last Update Date: | 03/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1309 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |