Organization · Type 2 NPI

Telemedpsych LLC

Behavioral Neurology & Neuropsychiatry Physician · Grants Pass, OR

NPI number 1063380913 Active

Practice location

1015 NW Starlite Pl
Grants Pass, OR 97526-1165

Fax (800) 433-1396

Mailing address

PO Box 1787
Medford, OR 97501-0261

Specialties and licenses

TaxonomyCodeLicense
Behavioral Neurology & Neuropsychiatry Physician Primary 2084B0040XNone listed

Behavioral Neurology & Neuropsychiatry Physician: Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

About NPI 1063380913

Telemedpsych LLC's National Provider Identifier is 1063380913, issued on Oct 23, 2025. The primary taxonomy on file is Behavioral Neurology & Neuropsychiatry Physician (2084B0040X), and the practice location is in Grants Pass, OR. The record was last updated on Oct 23, 2025.