Provider Demographics
NPI:1396976148
Name:DEAN, ANNE LABOUISSE (PHD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:LABOUISSE
Last Name:DEAN
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 1:2937 INGALLS WAY
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-6307
Mailing Address - Country:US
Mailing Address - Phone:541-225-7280
Mailing Address - Fax:541-505-7910
Practice Address - Street 1:2937 INGALLS WAY
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-6307
Practice Address - Country:US
Practice Address - Phone:541-225-7280
Practice Address - Fax:541-505-7910
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1863103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis