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NPI 1104896778

NPI 1104896778 : JOANN CATHERINE ONDROVIK PHD, MSCP, LSOTP : PARIS, TX

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General NPI Number Information
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    NPI Number           |    1104896778
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    Entity Type          |    Individual 
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    Provider Name        |    JOANN CATHERINE ONDROVIK PHD, MSCP, LSOTP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/25/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    3430 FARM ROAD 195 
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    City                 |    PARIS
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    State                |    TX
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    Zip                  |    75462-3058
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    Country              |    US
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    Telephone            |    903-785-0746
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    Fax                  |    903-785-2982
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Provider Business Mailing Address
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    Address Line         |    3430 FARM ROAD 195 
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    City                 |    PARIS
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    State                |    TX
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    Zip                  |    75462-3058
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    Country              |    US
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    Telephone            |    903-785-0746
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    Fax                  |    903-785-2982
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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        |    103TA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Psychologist
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    License Number       |    1194-0991
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    103TA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Psychologist
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    License Number       |    AD003151
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    103TA0700X
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    Taxonomy Name        |    Adult Development & Aging Psychologist
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    License Number       |    21086
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    103TA0700X
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    Taxonomy Name        |    Adult Development & Aging Psychologist
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    License Number       |    649
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    License Number State |    OK
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Taxonomy #5
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    Taxonomy Code        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    964097
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    License Number State |    TX
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Taxonomy #6
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    21086
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    License Number State |    TX
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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       |    649
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    License Number State |    OK
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Taxonomy #8
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    Taxonomy Code        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    21086
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    License Number State |    TX
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Taxonomy #9
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    Taxonomy Code        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    649
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    License Number State |    OK
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Taxonomy #10
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    Taxonomy Code        |    103TC2200X
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    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
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    License Number       |    21086
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    License Number State |    TX
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Taxonomy #11
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    Taxonomy Code        |    103TF0200X
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    Taxonomy Name        |    Forensic Psychologist
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    License Number       |    21086
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    License Number State |    TX
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Taxonomy #12
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    Taxonomy Code        |    103TF0200X
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    Taxonomy Name        |    Forensic Psychologist
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    License Number       |    649
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    License Number State |    OK
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Taxonomy #13
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    Taxonomy Code        |    103TH0100X
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    Taxonomy Name        |    Health Service Psychologist
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    License Number       |    12505
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    License Number State |    TX
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Taxonomy #14
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    Taxonomy Code        |    103TR0400X
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    Taxonomy Name        |    Rehabilitation Psychologist
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    License Number       |    94161
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    License Number State |    TX
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Taxonomy #15
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    Taxonomy Code        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    5908
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    License Number State |    TX
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