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General NPI Number Information
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NPI Number | 1124818315
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Entity Type | Organization
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Legal Business Name | BRITE PSYCHOLOGICAL SERVICES, APC
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 265 S RANDOLPH AVE STE 165
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City | BREA
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State | CA
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Zip | 92821-5786
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Country | US
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Telephone | 714-582-2149
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Fax | 714-544-1473
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Provider Business Mailing Address
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Address Line | 265 S RANDOLPH AVE STE 165
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City | BREA
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State | CA
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Zip | 92821-5786
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Country | US
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Telephone | 714-582-2149
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Fax | 714-544-1473
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Authorized Official
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Title or Position | PSYCHOLOGICAL ASSOCIATE
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Name | TJ PUNCHARD
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Credential | M.A., M.A.
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Telephone | 657-222-0857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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