Courtney Prokosch, PSYD Valid NPI
Individual provider · Forensic Psychologist · Salem, OR
- NPI
- 1346788106
- Type
- Individual (Type 1)
- Primary specialty
- Forensic Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TF0200X
- License number
- 2611 (OR)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2017-02-01
- Last updated
- 2017-02-01
Practice location
2600 Center St Ne
Salem, OR 97301-2669
(503) 947-8087