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General NPI Number Information
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NPI Number | 1205637642
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Entity Type | Organization
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Legal Business Name | ABO PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 1715 S CAESAR AVE
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City | FRESNO
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State | CA
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Zip | 93727-5914
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Country | US
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Telephone | 559-753-8988
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Fax | 559-295-8936
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Provider Business Mailing Address
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Address Line | 2037 W BULLARD AVE # 182
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City | FRESNO
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State | CA
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Zip | 93711-1233
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Country | US
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Telephone | 559-840-6436
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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. CATHERINE HARRIS
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Credential | PSYD
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Telephone | 559-840-6436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic 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 | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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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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