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General NPI Number Information
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NPI Number | 1245613728
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Entity Type | Organization
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Legal Business Name | CASSANDRA NEUHAUS, PSYD, PLLC
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Dates
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Enumeration Date | 07/02/2015
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 4815 S HARVARD AVE STE 333
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City | TULSA
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State | OK
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Zip | 74135-3077
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Country | US
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Telephone | 918-398-3378
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Fax | 918-209-5538
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Provider Business Mailing Address
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Address Line | 4815 S HARVARD AVE STE 333
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City | TULSA
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State | OK
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Zip | 74135-3077
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Country | US
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Telephone | 918-398-3378
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Fax | 918-209-5538
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Authorized Official
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Title or Position | OWNER/CLINICAL PSYCHOLOGIST
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Name | DR. CASSANDRA NEUHAUS
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Credential | PSYD
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Telephone | 918-409-0741
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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 | 1227
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License Number State | OK
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