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General NPI Number Information
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NPI Number | 1083384291
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Entity Type | Organization
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Legal Business Name | HEALTH AND WELLNESS PSYCHOLOGY, INC
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Dates
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Enumeration Date | 09/18/2021
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 400 ESTUDILLO AVE STE 201
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City | SAN LEANDRO
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State | CA
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Zip | 94577-4900
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Country | US
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Telephone | 510-281-0727
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Fax |
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Provider Business Mailing Address
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Address Line | 400 ESTUDILLO AVE STE 201
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City | SAN LEANDRO
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State | CA
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Zip | 94577-4900
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Country | US
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Telephone | 510-281-0727
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. JOANNA ZYGMONT
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Credential | PSY.D.
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Telephone | 510-626-0082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 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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