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General NPI Number Information
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NPI Number | 1144854563
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Entity Type | Organization
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Legal Business Name | YUMA PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 02/25/2020
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Provider Practice Location Address
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Address Line | 242 S 1ST AVE
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City | YUMA
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State | AZ
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Zip | 85364-2264
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Country | US
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Telephone | 928-919-9521
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Fax | 928-247-9101
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Provider Business Mailing Address
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Address Line | 242 S 1ST AVE
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City | YUMA
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State | AZ
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Zip | 85364-2264
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Country | US
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Telephone | 928-919-9521
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Fax | 928-247-9101
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST/OWNER
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Name | DR. CAROLINA PRIETO
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Credential | PSY.D.
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Telephone | 928-919-9521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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