Provider Demographics
NPI:1235817453
Name:SEEGOBIN PSYCHOLOGICAL SERVICES INC
Entity Type:Organization
Organization Name:SEEGOBIN PSYCHOLOGICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUS MANAGER/CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:THERESE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-364-6093
Mailing Address - Street 1:414 N MERIDIAN ST # 6104
Mailing Address - Street 2:
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132-2697
Mailing Address - Country:US
Mailing Address - Phone:503-830-5381
Mailing Address - Fax:
Practice Address - Street 1:501 N VILLA RD
Practice Address - Street 2:
Practice Address - City:NEWBERG
Practice Address - State:OR
Practice Address - Zip Code:97132-1818
Practice Address - Country:US
Practice Address - Phone:503-830-5381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty