Provider Demographics
NPI:1629519954
Name:EUGENE PSYCHOLOGICAL ASSESSMENTS LLC
Entity Type:Organization
Organization Name:EUGENE PSYCHOLOGICAL ASSESSMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEIDEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:541-972-3958
Mailing Address - Street 1:3225 WILLAMETTE ST.
Mailing Address - Street 2:3F
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-3506
Mailing Address - Country:US
Mailing Address - Phone:435-760-9927
Mailing Address - Fax:
Practice Address - Street 1:3225 WILLAMETTE ST # 3F
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-3309
Practice Address - Country:US
Practice Address - Phone:435-760-9927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2860103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty