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General NPI Number Information
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NPI Number | 1073635322
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Entity Type | Individual
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Provider Name | MARIA ELENA FEROLETO PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 12/09/2016
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Provider Practice Location Address
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Address Line | 1501 CROCKER ST STE 1
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City | HOUSTON
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State | TX
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Zip | 77019-4322
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Country | US
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Telephone | 713-630-0701
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Fax | 713-529-2648
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Provider Business Mailing Address
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Address Line | 1836 SUL ROSS ST APT 3
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City | HOUSTON
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State | TX
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Zip | 77098-2659
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Country | US
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Telephone | 713-557-9709
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Fax | 713-529-2648
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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 | 30728
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 30834
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License Number State | TX
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