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General NPI Number Information
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NPI Number | 1215220900
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE PSYCHOLOGY LLC
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Dates
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Enumeration Date | 05/27/2011
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 550 SE 6TH AVE # 200K
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5306
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Country | US
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Telephone | 561-859-6767
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Fax | 561-637-8754
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Provider Business Mailing Address
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Address Line | 616 NE FRANCESCA LN
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City | BOCA RATON
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State | FL
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Zip | 33487-5210
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Country | US
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Telephone | 561-859-6767
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Fax | 561-637-8210
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. CARYL A. KEATING
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Credential | PSY.D.
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Telephone | 561-859-6767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY8234
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License Number State | FL
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