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General NPI Number Information
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NPI Number | 1003123647
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Entity Type | Organization
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Legal Business Name | PATE PSYCHOLOGICAL SERVICES PLLC
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Dates
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Enumeration Date | 09/02/2010
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 7505 SOUTH FWY STE F
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City | HOUSTON
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State | TX
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Zip | 77021-5928
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Country | US
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Telephone | 713-741-8516
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Fax | 713-741-8517
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Provider Business Mailing Address
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Address Line | 7505 SOUTH FWY STE F
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City | HOUSTON
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State | TX
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Zip | 77021-5928
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Country | US
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Telephone | 713-741-8516
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Fax | 713-741-8517
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. TONNA D PATE
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Credential | PSYD
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Telephone | 713-741-8516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 34160
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License Number State | TX
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