Kennemer & Smith Psychological Services Llc

LBN: Kennemer & Smith Psychological Services Llc
Kennemer & Smith Psychological Services Llc is an health care organization with primary practice located at 619 Madison St Ste 108 , Oregon City OR 97045-2354. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Kennemer & Smith Psychological Services Llc can be contacted via phone (503) 303-4257, or through Cerasuolo, Alene via phone (503) 303-4257.

Contact Information

Primary practice address
619 Madison St Ste 108 Oregon City OR 97045-2354
Phone: (503) 303-4257
Fax: (503) 387-3957
Website:
Map and Directions
Authorized official contact:
Name: Cerasuolo, Alene
Phone: (503) 303-4257

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1962004358
LBN Legal business name Kennemer & Smith Psychological Services Llc
DBA Doing business as
Authorized official Cerasuolo, Alene
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2020
Last updated Nov 16th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962004358 NPPES
Oregon MEDICAID 500602612

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