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Contact Information

LOLA WHITE PSYD LLC
388 STATE ST STE 704
SALEM, OR97301-4023
 Phone: 503-917-9623
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LOLA WHITE PSYD LLC

NPI # 1871114793
LBN Legal business name LOLA WHITE PSYD LLC
Authorized official LAURA WHITE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/01/2020
Last updated 05/01/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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