Provider Demographics
NPI:1699495804
Name:JUST PSYCHOLOGICAL SERVICES, PC
Entity type:Organization
Organization Name:JUST PSYCHOLOGICAL SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMON-THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:503-707-0348
Mailing Address - Street 1:4850 SW SCHOLLS FERRY RD STE 301
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-1696
Mailing Address - Country:US
Mailing Address - Phone:503-707-0348
Mailing Address - Fax:971-266-2868
Practice Address - Street 1:4850 SW SCHOLLS FERRY RD STE 301
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-1696
Practice Address - Country:US
Practice Address - Phone:503-707-0348
Practice Address - Fax:971-266-2868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty