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General NPI Number Information
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NPI Number | 1215855663
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Entity Type | Organization
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Legal Business Name | JJ PSYCHOLOGY LLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 2707 E LOUISIANA AVE
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City | DENVER
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State | CO
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Zip | 80210-2020
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Country | US
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Telephone | 713-408-0626
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Fax |
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Provider Business Mailing Address
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Address Line | 2561 S WILLIAMS ST
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City | DENVER
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State | CO
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Zip | 80210-5157
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Country | US
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Telephone | 713-408-0626
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACQUELINE JACOBS TYNAN
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Credential | PSYD
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Telephone | 713-408-0626
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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 |
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License Number State |
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