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General NPI Number Information
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NPI Number | 1033038534
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Entity Type | Organization
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Legal Business Name | OLIVE BRANCH PSYCHOLOGICAL SERVICES PLLC
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 1350 NASA PKWY STE 135
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City | HOUSTON
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State | TX
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Zip | 77058-3165
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Country | US
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Telephone | 832-979-5982
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Fax | 832-324-6975
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Provider Business Mailing Address
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Address Line | 405 INDIAN BLANKET DR
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City | LEAGUE CITY
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State | TX
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Zip | 77573-7269
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | JENNIFER WHALEY
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Credential | PSYD
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Telephone | 832-979-5982
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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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