Physician Compare National (NPI:1699803106)

HEALTHCARE PROVIDER: MARY BETH LLORENS PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1699803106
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517380389
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200713001378
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LLORENS
	Individual professional last name
Provider First Name	MARY BETH
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2690 EMERALD ST
	Group Practice or individual's line 1 address
City	EUGENE
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	974031634
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5413026439
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y