NPI 1063522860

Michael R Villanueva, PSYD

Practitioner Clinical Neuropsychologist Medford, OR

Practice location

Address: 837 Alder Creek Dr, Medford, OR 97504-8911
Phone: (541) 608-3878
Fax: (541) 608-3880

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 0974 (OR)

Other Clinical Neuropsychologist providers in Oregon →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 0974 (OR)

Other Psychologist providers in Oregon →

Registry record

NPI: 1063522860
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2006
Record last updated: 22 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.