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General NPI Number Information
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NPI Number | 1255797759
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Entity Type | Organization
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Legal Business Name | DEVELOPMENTAL & EDUCATIONAL PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 01/13/2016
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 15720 N GREENWAY HAYDEN LOOP STE 2
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1796
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Country | US
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Telephone | 602-743-7032
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Fax | 480-584-3014
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Provider Business Mailing Address
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Address Line | 15720 N GREENWAY HAYDEN LOOP STE 2
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1796
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Country | US
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Telephone | 602-743-7032
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Fax | 480-584-3014
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. CAROL MCLEAN
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Credential | PH.D.
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Telephone | 480-659-5563
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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 | 3550
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License Number State | AZ
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