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General NPI Number Information
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NPI Number | 1104175934
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Entity Type | Organization
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Legal Business Name | CLEAR SKIES PSYCHOLOGICAL SERVICES CORPORATION
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Dates
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Enumeration Date | 09/07/2012
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 2601 AIRPORT DR STE 200
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City | TORRANCE
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State | CA
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Zip | 90505-6104
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Country | US
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Telephone | 310-943-9675
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Fax | 310-943-9675
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Provider Business Mailing Address
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Address Line | 2601 AIRPORT DR STE 200
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City | TORRANCE
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State | CA
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Zip | 90505-6104
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Country | US
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Telephone | 310-943-9675
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Fax | 310-943-9675
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Authorized Official
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Title or Position | MANAGER
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Name | JAMES RICHARD COLTON
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Credential |
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Telephone | 310-943-9675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PSY24275
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY24275
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | PSY24275
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC51804
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC50844
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC79085
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY24275
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License Number State | CA
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