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General NPI Number Information
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NPI Number | 1235043704
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Entity Type | Organization
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Legal Business Name | TETON PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 1420 N HIGHWAY 33 STE 103
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City | DRIGGS
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State | ID
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Zip | 83422-5313
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Country | US
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Telephone | 208-497-2260
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Fax | 208-281-4134
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Provider Business Mailing Address
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Address Line | 1420 N HIGHWAY 33 STE 103
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City | DRIGGS
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State | ID
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Zip | 83422-5313
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Country | US
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Telephone | 208-497-2260
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Fax | 208-281-4134
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Authorized Official
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Title or Position | OWNER/CLINICAL PSYCHOLOGIST
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Name | DR. JESSICA WEIS
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Credential | PSY.D.
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Telephone | 650-380-6265
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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 | NULL
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