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Contact Information

TERRI L DICKENS LANDRETH, LCSW
19550 AMBER MEADOW DR STE 130
BEND, OR97702-3526
 Phone: 541-969-3494
 Fax: 541-550-2906
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TERRI L DICKENS LANDRETH · (Female)

NPI Number 1295099422
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 07/03/2012
Last updated 12/30/2022 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # L4140
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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