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NPI 1174347611

NPI 1174347611 : LEARNING CURVE CHILD AND FAMILY PSYCHOLOGY : SURFSIDE BEACH, SC

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General NPI Number Information
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    NPI Number           |    1174347611
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEARNING CURVE CHILD AND FAMILY PSYCHOLOGY 
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Dates
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    Enumeration Date     |    11/12/2024
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    Last Update Date     |    11/12/2024
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Provider Practice Location Address
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    Address Line         |    1500 HWY 17 N STE 201
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    City                 |    SURFSIDE BEACH
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    State                |    SC
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    Zip                  |    29575-6078
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    Country              |    US
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    Telephone            |    843-481-0725
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5294 STOCKYARD LOOP 
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    City                 |    MYRTLE BEACH
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    State                |    SC
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    Zip                  |    29588-8048
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    Country              |    US
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    Telephone            |    201-539-1340
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    Fax                  |    843-410-6389
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Authorized Official
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    Title or Position    |    PSYCHOLOGIST/OWNER CEO
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    Name                 |    DR. NICOLE M. BARAKAT 
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    Credential           |    PSY.D.
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    Telephone            |    201-539-1340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |    
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