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NPI 1215727458

NPI 1215727458 : NEURON AND ROSE PSYCHOLOGICAL SERVICES : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1215727458
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEURON AND ROSE PSYCHOLOGICAL SERVICES 
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Dates
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    Enumeration Date     |    05/10/2025
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    Last Update Date     |    05/10/2025
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Provider Practice Location Address
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    Address Line         |    1849 SAWTELLE BLVD STE 610 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90025-7013
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    Country              |    US
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    Telephone            |    805-476-2968
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    Fax                  |    805-254-0013
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Provider Business Mailing Address
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    Address Line         |    1849 SAWTELLE BLVD STE 610 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90025-7013
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ASSOCIATE CLINICAL DIRECTOR
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    Name                 |     ALEXANDRA  MCLAUGHLIN 
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    Credential           |    
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    Telephone            |    805-476-2968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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