Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 2548 | OR |
Y | 103TC0700X | Clinical Psychologist | 2548 | OR |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 2548 | OR |
NPI | 1124459367 |
---|---|
Provider Name | Lisa Sheeber |
First Address | Eugene, OR 97401-3608 |
Second Address | Eugene, OR 97401-3608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2013 |
Last Update Date | 19/10/2015 |