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General NPI Number Information
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NPI Number | 1235955030
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Entity Type | Organization
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Legal Business Name | ROCKWOOD THERAPY GROUP - A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 234 N EL MOLINO AVE STE 202
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City | PASADENA
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State | CA
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Zip | 91101-4404
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Country | US
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Telephone | 714-400-2858
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Fax |
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Provider Business Mailing Address
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Address Line | 1950 W CORPORATE WAY # 10207
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City | ANAHEIM
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State | CA
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Zip | 92801-5373
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Country | US
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Telephone | 714-400-2858
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. TRINNIN OLSEN
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Credential | PSYD
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Telephone | 714-400-2858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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