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General NPI Number Information
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NPI Number | 1114870326
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Entity Type | Organization
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Legal Business Name | TEA HOUSE PSYCHOTHERAPY, PC
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 582 MARKET ST STE 1101
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-5312
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Country | US
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Telephone | 415-294-0641
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Fax |
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Provider Business Mailing Address
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Address Line | 582 MARKET ST STE 1101
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-5312
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Country | US
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Telephone | 415-294-0641
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHERYL TIEN
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Credential | PSYD
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Telephone | 415-294-0641
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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 |
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License Number State |
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