NIKI DESANTO AMSDEN

ROSEBURG, OR
NPI1497159461
Former NameNIKI ANDREA DESANTO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103G00000X Clinical Neuropsychologist
(Licence: OR  2464)
Additional Taxonomies103G00000X Clinical Neuropsychologist
103TC0700X Psychologist, Clinical
(Licence: CA  PSY 12507)
103TR0400X Psychologist, Rehabilitation
(Licence: OR  2464)
Enumeration Date2014-10-20
Last Update Date2015-02-19
Business Address
Dr. NIKI DESANTO AMSDEN Ph.D.
2700 STEWART PARKWAY ANNEX B
ROSEBURG, OR 97471
Phone number: 541-440-3532
Mailing Address
Dr. NIKI DESANTO AMSDEN Ph.D.
272 MEDICAL LOOP SUITE E
ROSEBURG, OR 97471
Phone number: 541-440-3532