Dr. Niki Desanto Amsden
Clinical Psychologist Rehabilitation Psychologist
2700 Stewart Parkway Annex B
Roseburg
, Oregon 97471
Dr. Niki Desanto Amsden
Clinical Psychologist Rehabilitation Psychologist
2700 Stewart Parkway Annex B
Roseburg
, Oregon 97471
(541) 440-3554
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About
Features
Specialties
- Clinical Psychologist
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Dr. Niki Desanto Amsden
- 272 Medical Loop Suite E
- Roseburg, OR
- Zip : 97471
- Fax : (541) 440-3554
- Phone : (541) 440-3532
Second Address
- Dr. Niki Desanto Amsden
- 2700 Stewart Parkway Annex B
- Roseburg, OR
- Zip : 97471
- Fax : (541) 440-3554
- Phone : (541) 440-3532
Reviews
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Is Dr. Niki Desanto Amsden a sole practitioner?
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Does Dr. Niki Desanto Amsden have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | ||
| N | 103TC0700X | Clinical Psychologist | ||
| Y | 103G00000X | Clinical Psychologist | 2464 | OR |
| Y | 103TC0700X | Clinical Psychologist | 2464 | OR |
| N | 103G00000X | Clinical Psychologist | PSY 12507 | CA |
| N | 103TC0700X | Clinical Psychologist | PSY 12507 | CA |
| N | 103TR0400X | Rehabilitation Psychologist | 2464 | OR |
National Provider Identifier
| NPI | 1497159461 |
|---|---|
| Provider Name | Dr. Niki Desanto Amsden |
| First Address | Roseburg, OR 97471 |
| Second Address | Roseburg, OR 97471 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/10/2014 |
| Last Update Date | 19/02/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 500679588 | (05) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.