| NPI | 1235590613 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAVID BARCLAY ENGLAND Clinical Psychologist 541-207-2209  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005369)  | 
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: VA 0810005369)  | 
| 103TF0200X Psychologist, Forensic (Licence: VA 0810005369)  | |
| Enumeration Date | 2016-03-14 | 
| Last Update Date | 2016-03-14 |