Stephen Pethick is a Clinical in Eugene, Oregon. Stephen Pethick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephen Pethick is 1356404172. The last update date is 2021-03-29.
Stephen Pethick's current location address is Po Box 3163, Eugene, Oregon. You can contact this provider via phone number 5416877787 and fax number 5416879334. The mailing address for Stephen Pethick is Po Box 3163, Eugene, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Pethick |
|---|---|
| Address | Po Box 3163, Eugene, Oregon |
| Phone Number | 5416877787 |
| Fax Number | 5416879334 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1356404172 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2021-03-29 |
Provider Mailing Address Detail
| Address | Po Box 3163 |
|---|---|
| City | Eugene |
| State | Oregon (OR) |
| Post Code | 974030163 |
| Phone Number | 5416877787 |
| Fax Number | 5416879334 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1569 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 298598 | OR | OMAP |
Post Comment/ Review Below
What is the unique identifier code issued to Stephen Pethick by the Centers for Medicare & Medicaid Services (CMS)?
The Stephen Pethick has been assigned the NPI (National Provider Identifier) 1356404172. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Stephen Pethick's facilities are geographically located?
The facilities of Stephen Pethick are physically situated at the following location: Po Box 3163, Eugene, OR, 974030163.
What is the Stephen Pethick's specialty and taxonomy code?
The Stephen Pethick's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did Stephen Pethick receive its 1356404172 assignment?
The Stephen Pethick was assigned its 1356404172 on 2006-12-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Stephen Pethick last refreshed?
The information related to the Stephen Pethick, including its address, specialty, and other relevant details, was last updated on 2021-03-29.