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General NPI Number Information
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NPI Number | 1184477093
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Entity Type | Organization
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Legal Business Name | ACORN INTEGRATIVE PSYCHOTHERAPY
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Dates
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Enumeration Date | 04/10/2024
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Last Update Date | 06/23/2024
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Provider Practice Location Address
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Address Line | 112 E AMERIGE AVE STE 228
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City | FULLERTON
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State | CA
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Zip | 92832-1920
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Country | US
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Telephone | 562-231-6733
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Fax |
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Provider Business Mailing Address
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Address Line | 112 E AMERIGE AVE STE 228
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City | FULLERTON
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State | CA
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Zip | 92832-1920
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Country | US
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Telephone | 562-231-6733
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMILY P. CHEN
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Credential | PHD
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Telephone | 562-231-6733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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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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