Individual provider · Type 1 NPI

Katherine Versenyi Wild, PhD

Clinical Psychologist · Portland, OR

NPI number 1477569929 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-7772 Map

Mailing address

626 NE Mirimar Pl
Portland, OR 97232-2541

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X1058 (OR)
Clinical Psychologist Primary 103TC0700X1058 (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 1477569929

Katherine Versenyi Wild, PhD's National Provider Identifier is 1477569929, issued on Aug 1, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portland, OR. The record was last updated on Mar 22, 2010.