npidexNPI registry + Medicare data

ASHLEY BORDELON, PH.D.

Clinical Child & Adolescent Psychologist · KLAMATH FALLS, OR

Individual Active Opted out of Medicare NPI 1720138019

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Clinical Child & Adolescent Psychologist103TC2200X✓3201OR
Mental Health Counselor101YM0800X——

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Psychologist), effective 2023-09-06 through 2027-09-06.

Other Clinical Child & Adolescent Psychologist providers in Oregon

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.