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General NPI Number Information
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NPI Number | 1043029218
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Entity Type | Organization
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Legal Business Name | DISCOVERY PSYCHOLOGICAL ASSESSMENT CENTER, INC.
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 2512 ARTESIA BLVD STE 260B
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City | REDONDO BEACH
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State | CA
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Zip | 90278-5366
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Country | US
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Telephone | 310-554-8944
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Fax | 310-554-8954
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Provider Business Mailing Address
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Address Line | 703 PIER AVE STE B #316
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City | HERMOSA BEACH
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State | CA
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Zip | 90254
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Country | US
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Telephone | 310-554-8944
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Fax | 310-554-8954
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Authorized Official
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Title or Position | EXECUTIVE CLINICAL DIRECTOR
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Name | DR. JOANNE CHOI
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Credential | PSYD
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Telephone | 310-554-8944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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