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General NPI Number Information
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NPI Number | 1194300822
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Entity Type | Individual
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Provider Name | KRISTIN RACHELLE STREICH PSYD
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Gender | Female
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Dates
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Enumeration Date | 03/15/2021
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Last Update Date | 03/15/2021
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Provider Practice Location Address
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Address Line | 315 S FRIENDSWOOD DR
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-3903
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Country | US
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Telephone | 713-910-1799
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Fax |
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Provider Business Mailing Address
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Address Line | 3014 CHERRY GROVE CT
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City | HOUSTON
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State | TX
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Zip | 77059-2848
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Country | US
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Telephone | 832-282-3935
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 70425
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License Number State | TX
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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 | 38850
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License Number State | TX
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