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General NPI Number Information
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NPI Number | 1275945537
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Entity Type | Organization
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Legal Business Name | HINKLE COUNSELING & PSYCHOLOGICAL CENTER, PLLC
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Dates
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Enumeration Date | 05/21/2014
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Last Update Date | 05/21/2014
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Provider Practice Location Address
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Address Line | 147 E MAIN ST
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City | BRIDGEPORT
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State | WV
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Zip | 26330-1755
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Country | US
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Telephone | 304-848-0660
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Fax |
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Provider Business Mailing Address
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Address Line | 147 E MAIN ST
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City | BRIDGEPORT
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State | WV
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Zip | 26330-1755
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Country | US
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Telephone | 304-848-0660
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | BRENDA KAY HINKLE
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Credential | M.A.
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Telephone | 304-848-0660
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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 | 948
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License Number State | WV
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