Sally J Grosscup is a Psychologist in Eugene, Oregon. Sally J Grosscup practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Sally J Grosscup is 1609973338. The last update date is 2022-08-17.
Sally J Grosscup's current location address is 1210 Pearl St, Eugene, Oregon. You can contact this provider via phone number 5413432663 and fax number 5413432663. The mailing address for Sally J Grosscup is 1210 Pearl St, Eugene, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sally J Grosscup |
|---|---|
| Address | 1210 Pearl St, Eugene, Oregon |
| Phone Number | 5413432663 |
| Fax Number | 5413432663 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1609973338 |
|---|---|
| Provider Enumeration Date | 2006-09-17 |
| Last Updated Date | 2022-08-17 |
Provider Mailing Address Detail
| Address | 1210 Pearl St |
|---|---|
| City | Eugene |
| State | Oregon (OR) |
| Post Code | 974013573 |
| Phone Number | 5413432663 |
| Fax Number | 5413432663 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 658 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 162859 | OR | -- | |
| 162859 | OR | OREGON GEPT OF HUMAN RES. |
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What is the unique 10-digit identifier code assigned to Sally J Grosscup by the Centers for Medicare & Medicaid Services?
The Sally J Grosscup has been issued the NPI (National Provider Identifier) 1609973338 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Sally J Grosscup's physical address?
The Sally J Grosscup is physically located at 1210 Pearl St, in the city of Eugene, OR, with the postal code 974013573.
What is Sally J Grosscup's area of expertise and its corresponding taxonomy classification?
The Sally J Grosscup's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Sally J Grosscup receive its 1609973338 assignment from the Centers for Medicare & Medicaid Services?
The Sally J Grosscup was assigned its 1609973338 on 2006-09-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Sally J Grosscup most recently updated or revised?
The details related to Sally J Grosscup, including its address, specialty, and other relevant information, were last updated or revised on 2022-08-17.