Provider Demographics
NPI:1518512938
Name:ROSEANNE PIKUL, LMFT, LLC
Entity Type:Organization
Organization Name:ROSEANNE PIKUL, LMFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIKUL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:971-599-1383
Mailing Address - Street 1:5747 KAREN LYNN LOOP S
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-3200
Mailing Address - Country:US
Mailing Address - Phone:510-590-6108
Mailing Address - Fax:503-966-1003
Practice Address - Street 1:880 LIBERTY ST NE STE 102
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-2450
Practice Address - Country:US
Practice Address - Phone:971-599-1383
Practice Address - Fax:503-966-1003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty