Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1013258839 |
---|---|
Provider Name | Ms. Donja Su Hinrichs |
First Address | North Bend, OR 97459-3482 |
Second Address | North Bend, OR 97459-3482 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2013 |
Last Update Date | 04/03/2013 |