Individual provider · Type 1 NPI

Martin Terrance Lally, PHD PSYCHOLOGIST

Psychologist · Portland, OR

NPI number 1285725689 Active

Practice location

1121 NE 2nd, Oregon State Hospital
Portland, OR 97232

Call (503) 731-8656 Map

Mailing address

PO Box 14900, State Of Oregon Irs Unit
Salem, OR 97309-5016

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X712 (OR)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1285725689

Martin Terrance Lally, PHD PSYCHOLOGIST's National Provider Identifier is 1285725689, issued on Sep 28, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.