Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Oregon Psychological Services LLC

Organization Psychologist · NPI 1245946110

Southern Oregon Psychological Services LLC provides Psychologist services in Grants Pass, Oregon. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

305 NE E St Ste 200B
Grants Pass, OR 97526-2163
Phone: (541) 226-4396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1245946110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Ditty — Owner · (541) 226-4396
NPI enumeratedJanuary 25, 2023
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024
Mailing address305 Ne E St Ste 200b, Grants Pass, OR 97526-2163

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