Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NIKI DESANTO AMSDEN, PH.D.
ActiveDR. NIKI DESANTO AMSDEN, PH.D. is a Clinical Neuropsychologist healthcare provider located in ROSEBURG, Oregon. NPI 1497159461 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · ROSEBURG, OR
Registration Details
- NPI Number
- 1497159461
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 20, 2014 (11.771847716043 yrs)
- Last Updated
- Feb 19, 2015
- Licenses
-
PSY 12507 (CA)2464 (OR)2464 (OR)
Practice Information
- Address
-
2700 STEWART PARKWAYANNEX BROSEBURG, OR, 97471Browse OR providers · Browse ZIP 97471
- Phone
- 5414403532
- Fax
- 5414403554
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Rehabilitation Psychologist
- Additional Specialty
- Clinical Neuropsychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.