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General NPI Number Information
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NPI Number | 1073056586
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Entity Type | Organization
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Legal Business Name | WORK WITHIN COUNSELING AND PSYCHOLOGICAL SERVICES PLLC
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Dates
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Enumeration Date | 12/01/2016
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 1905 ANASAZI CT
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-3491
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Country | US
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Telephone | 719-551-9226
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Fax | 844-392-0874
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Provider Business Mailing Address
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Address Line | 4520 CENTENNIAL BLVD # 1006
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-3335
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Country | US
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Telephone | 719-551-9226
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Fax | 844-392-0874
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. DIANE CHEW
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Credential | PSY.D
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Telephone | 719-551-9226
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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 | PSY0004423
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License Number State | CO
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