Healthcare Provider Details
I. General information
NPI: 1548580285
Provider Name (Legal Business Name): IAN L PRITCHARD PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/04/2010
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1292 HIGH ST # A3142
EUGENE OR
97401-3238
US
IV. Provider business mailing address
1292 HIGH ST # A3142
EUGENE OR
97401-3238
US
V. Phone/Fax
- Phone: 541-632-6001
- Fax:
- Phone: 541-632-6001
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | PY0657 |
| License Number State | NV |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | PSY24434 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 4076 |
| License Number State | OR |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 4076 |
| License Number State | OR |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | 4076 |
| License Number State | OR |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TP2701X |
| Taxonomy | Group Psychotherapy Psychologist |
| License Number | 4076 |
| License Number State | OR |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Psychologist |
| License Number | 4076 |
| License Number State | OR |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TH0100X |
| Taxonomy | Health Service Psychologist |
| License Number | 4076 |
| License Number State | OR |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TF0200X |
| Taxonomy | Forensic Psychologist |
| License Number | 4076 |
| License Number State | OR |
| # 10 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TP0814X |
| Taxonomy | Psychoanalysis Psychologist |
| License Number | 4076 |
| License Number State | OR |
| # 11 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TM1800X |
| Taxonomy | Intellectual & Developmental Disabilities Psychologist |
| License Number | 4076 |
| License Number State | OR |
| # 12 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | 4076 |
| License Number State | OR |
| # 13 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TB0200X |
| Taxonomy | Cognitive & Behavioral Psychologist |
| License Number | 4076 |
| License Number State | OR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
