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General NPI Number Information
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NPI Number | 1285485276
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Entity Type | Organization
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Legal Business Name | THE GOOD LIFE PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 03/28/2024
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 4619 E AVE
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City | KEARNEY
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State | NE
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Zip | 68847-8302
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Country | US
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Telephone | 308-222-5315
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Fax |
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Provider Business Mailing Address
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Address Line | 22 W 56TH ST SUITE 107 - PMB 114
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City | KEARNEY
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State | NE
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Zip | 68847
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Country | US
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Telephone | 308-222-5315
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRINDI K STREUFERT
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Credential | PSYD
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Telephone | 308-222-5315
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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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