Provider Demographics
NPI:1669686416
Name:ALBRECHT, LLEWELLYN WELLS (PHD)
Entity Type:Individual
Prefix:DR
First Name:LLEWELLYN
Middle Name:WELLS
Last Name:ALBRECHT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3260 INSPIRATION POINT DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-2320
Mailing Address - Country:US
Mailing Address - Phone:541-344-2292
Mailing Address - Fax:541-345-4664
Practice Address - Street 1:3260 INSPIRATION POINT DR
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-2320
Practice Address - Country:US
Practice Address - Phone:541-344-2292
Practice Address - Fax:541-345-4664
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0428103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling