MEDICARE: B.JOANN SCHECK PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	1121	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J326601	OTHER	OR	PACIFIC SOURCE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	117881	OTHER	OR	MHN

General Provider Information

NPI Number	:	1811903693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	B.JOANN SCHECK PSY.D.

Provider Business Mailing Address
First Line	:	3003 WILLAMETTE ST.
Second Line	:	SUITE F
City	:	EUGENE
State	:	OR
Zip	:	97405-3295
Country	:	US
Telephone Number	:	541-484-1063
Fax Number	:

Provider Business Practice Location Address
First Line	:	3003 WILLAMETTE ST.
Second Line	:	SUITE F
City	:	EUGENE
State	:	OR
Zip	:	97405-3295
Country	:	US
Telephone Number	:	541-484-1063
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	07/09/2007

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