Mikala L. Saccoman, Phd, Llc

LBN: Mikala L. Saccoman, Phd, Llc
Mikala L. Saccoman, Phd, Llc is an health care organization with primary practice located at 497 Sw Century Dr Ste 104 , Bend OR 97702-1167. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Mikala L. Saccoman, Phd, Llc can be contacted via phone (541) 678-5174, or through Saccoman, Mikala L via phone (541) 678-5174.

Contact Information

Primary practice address
497 Sw Century Dr Ste 104 Bend OR 97702-1167
Phone: (541) 678-5174
Fax: (541) 678-5017
Website:
Map and Directions
Authorized official contact:
Name: Saccoman, Mikala L PHD
Phone: (541) 678-5174

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1164180683
LBN Legal business name Mikala L. Saccoman, Phd, Llc
DBA Doing business as
Authorized official Saccoman, Mikala L PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2021
Last updated Dec 1st, 2021 - about 4 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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