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General NPI Number Information
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NPI Number | 1053237073
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL SERVICES AZ PROFESSIONAL LLC
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 6909 W RAY RD STE 15-119
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City | CHANDLER
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State | AZ
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Zip | 85226-1699
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Country | US
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Telephone | 480-613-9911
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Fax |
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Provider Business Mailing Address
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Address Line | 6909 W RAY RD STE 15-119
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City | CHANDLER
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State | AZ
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Zip | 85226-1699
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Country | US
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Telephone | 480-613-9911
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Fax |
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Authorized Official
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Title or Position | CLINICAL NEUROPSYCHOLOGIST
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Name | CALEB BARCENAS
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Credential | PHD
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Telephone | 503-758-2917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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