360 PEDIATRIC PSYCHOLOGY PC NPI 1902208846

NPI Details

360 PEDIATRIC PSYCHOLOGY, PC is a clinical child and adolescent psychologist in Lake Oswego, OR. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. 360 PEDIATRIC PSYCHOLOGY, PC NPI is 1902208846. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

201 B AVE.
SUITE #285
LAKE OSWEGO, OR
ZIP 97034
Phone: (503) 636-0508
Fax: (503) 636-0387

The provider's authorized official is Tabitha Sereua Becker .
The authorized official title is Clinical Psychologist Coowner/partn and has the following contact phone number (503) 720-9234.

The enumeration date for this NPI number is 9/23/2014 and was last updated on 9/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: