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General NPI Number Information
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NPI Number | 1013845262
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Entity Type | Organization
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Legal Business Name | MG PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 05/09/2026
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Last Update Date | 05/09/2026
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Provider Practice Location Address
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Address Line | 1110 CALDER AVE
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City | BEAUMONT
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State | TX
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Zip | 77701-1777
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Country | US
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Telephone | 936-247-3525
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 CALDER AVE
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City | BEAUMONT
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State | TX
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Zip | 77701-1777
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Country | US
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Telephone | 936-247-3525
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGICAL ASSOCIATE
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Name | NOEMI MARTINEZ GALVAN
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Credential | MS
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Telephone | 409-460-8758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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