Chad Thomas Oberhausen PSY.D.

NPI 1558672477 - Psychologist - 103T00000X

NPI Details
NPI 1558672477
Gender Male
Enumeration Date 06/24/2010
Last Updated 06/24/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
9040 REID ST # A
JOINT BASE LEWIS MCCHORD WA, 98431-1100, US
Phone (253) 968-3162
Fax
Business Location
3911 OXFORD MNR
QUINCY IL, 62305-8416, US
Phone (941) 539-2690
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Illinois
License Number 071.007273
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According to our database, Chad Thomas Oberhausen PSY.D. NPI is 1558672477, taxonomy code is 103T00000X and license number is 071.007273, license state is located at Illinois. Chad Thomas Oberhausen PSY.D. physically located at 9040 Reid St # A, Joint Base Lewis Mcchord WA, 98431-1100. NPI Number Chad Thomas Oberhausen PSY.D. has the Individual type.

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1558672477 NPI number is provided on an as is basis without warranty of any kind. 1558672477 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Thomas Oberhausen PSY.D. are for informational purposes only.