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General NPI Number Information
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NPI Number | 1235599960
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Entity Type | Organization
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Legal Business Name | CATALYST THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 01/04/2017
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Provider Practice Location Address
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Address Line | 18213 N SKYHAWK DR
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City | SURPRISE
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State | AZ
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Zip | 85374-4402
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Country | US
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Telephone | 623-363-1533
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Fax |
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Provider Business Mailing Address
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Address Line | 18213 N SKYHAWK DR
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City | SURPRISE
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State | AZ
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Zip | 85374-4402
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Country | US
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Telephone | 623-363-1533
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Fax |
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | MS. CHARLOTTE E VALDIZAN
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Credential | M.A., SLP-CCC
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Telephone | 623-363-1533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6845
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License Number State | AZ
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