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General NPI Number Information
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NPI Number | 1073237434
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Entity Type | Individual
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Provider Name | CHRISTINA SUZANA CRESS PSYD
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Gender | Female
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 37624 SE FURY ST
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City | SNOQUALMIE
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State | WA
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Zip | 98065-9680
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Country | US
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Telephone | 425-888-2016
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25608
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City | SALT LAKE CITY
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State | UT
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Zip | 84125-0608
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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 |
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Name |
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Credential |
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Telephone |
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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 | 61240628
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License Number State | WA
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