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Contact Information

CYNTHIA A KLUBNIK, PHD
111 N 20TH ST
PHILOMATH, OR97370-9535
 Phone: 541-368-4313
 Fax: 541-929-4967
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
 

Behavior Analyst

103K00000X
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CYNTHIA A KLUBNIK · (Female)

NPI Number 1215239520
Status Active
Credentials PHD
Entity Individual
Enumeration date 11/19/2010
Last updated 12/10/2012 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 2203
  • TN License # 1-11-8303
  • Other 103I682739 MEDICARE
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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