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General NPI Number Information
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NPI Number | 1023509072
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Entity Type | Organization
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Legal Business Name | GALVAN PSYCHOLOGY GROUP INC
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Dates
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Enumeration Date | 05/25/2018
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Last Update Date | 02/14/2019
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Provider Practice Location Address
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Address Line | 21300 VICTORY BLVD STE 780
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-7723
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Country | US
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Telephone | 818-538-5236
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Fax |
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Provider Business Mailing Address
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Address Line | 21300 VICTORY BLVD STE 780
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-7723
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Country | US
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Telephone | 818-538-5236
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER GALVAN
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Credential | PH.D.
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Telephone | 818-538-5236
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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 | CA
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