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General NPI Number Information
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NPI Number | 1013634195
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Entity Type | Organization
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Legal Business Name | LOUISA PSYCHOLOGICAL CONSULTING PC
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Dates
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Enumeration Date | 10/20/2022
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 102 ELM AVENUE
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City | LOUISA
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State | VA
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Zip | 23093-2309
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Country | US
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Telephone | 540-223-0837
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Fax | 540-500-5916
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Provider Business Mailing Address
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Address Line | PO BOX 2189
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City | LOUISA
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State | VA
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Zip | 23093-3689
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Country | US
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Telephone | 540-223-0837
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ALETA STRICKLAND
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Credential | ED.S., NCSP
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Telephone | 540-223-0837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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