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General NPI Number Information
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NPI Number | 1023574761
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Entity Type | Organization
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Legal Business Name | CON ALMA THERAPY, PLLC
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Dates
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Enumeration Date | 02/19/2019
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 2222 WESTERN TRAILS BLVD STE 107
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City | AUSTIN
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State | TX
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Zip | 78745-1601
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Country | US
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Telephone | 512-686-7525
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Fax |
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Provider Business Mailing Address
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Address Line | 2222 WESTERN TRAILS BLVD STE 107
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City | AUSTIN
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State | TX
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Zip | 78745-1601
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Country | US
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Telephone | 512-686-7525
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ALICIA ENCISO LITSCHI
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Credential | PSYCHOLOGIST, PHD
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Telephone | 512-686-7525
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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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