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General NPI Number Information
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NPI Number | 1134443526
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Entity Type | Organization
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Legal Business Name | APPLE PSYCHOLOGICAL CONSULTANTS, LLC
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Dates
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Enumeration Date | 03/15/2010
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Last Update Date | 02/24/2011
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Provider Practice Location Address
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Address Line | 339 HIGH ST.
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City | MARYVILLE
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State | TN
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Zip | 37804-5831
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Country | US
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Telephone | 865-983-1899
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Fax | 865-233-0465
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Provider Business Mailing Address
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Address Line | 339 HIGH ST.
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City | MARYVILLE
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State | TN
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Zip | 37804-5831
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Country | US
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Telephone | 865-983-1899
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Fax | 865-233-0465
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR, LICENSED PSYCHO
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Name | DR. CHRISTY ANN SORRELL
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Credential | PHD
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Telephone | 865-983-1899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 2584
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License Number State | TN
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