Individual provider · Type 1 NPI
Myco Van, PSY.D.
Clinical Psychologist · Portland, OR
Practice location
1500 NE Irving St, Suite 250
Portland, OR 97232-2243
Mailing address
8401 NE Halsey St Ste 203
Portland, OR 97220-5670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 1791 (OR) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1295870525
Myco Van, PSY.D.'s National Provider Identifier is 1295870525, issued on Feb 21, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portland, OR. The record was last updated on Nov 7, 2009.