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General NPI Number Information
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NPI Number | 1134783566
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Entity Type | Organization
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Legal Business Name | TRUE NORTH PSYCHOLOGY, A PSYCHOLOGICAL PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/01/2019
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 173 N MORRISON AVE STE D
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City | SAN JOSE
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State | CA
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Zip | 95126-2712
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Country | US
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Telephone | 669-342-4681
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Fax |
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Provider Business Mailing Address
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Address Line | 173 N MORRISON AVE STE D
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City | SAN JOSE
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State | CA
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Zip | 95126-2712
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Country | US
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Telephone | 669-240-1003
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ELLEN ROSS
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Credential | PSYD
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Telephone | 669-244-4909
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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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