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General NPI Number Information
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NPI Number | 1013494384
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Entity Type | Organization
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Legal Business Name | TEST FOR SUCCESS PSYCHOLOGY, INC.
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 23501 PARK SORRENTO STE 101
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City | CALABASAS
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State | CA
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Zip | 91302-1369
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Country | US
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Telephone | 805-850-3794
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Fax |
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Provider Business Mailing Address
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Address Line | 23501 PARK SORRENTO STE 101
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City | CALABASAS
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State | CA
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Zip | 91302-1369
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Country | US
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Telephone | 310-488-5127
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. ANDRIA RAE GLASSER DAS
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Credential | PSYD
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Telephone | 850-850-3794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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