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General NPI Number Information
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NPI Number | 1306091038
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Entity Type | Organization
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Legal Business Name | ENGELBRECHT PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 11/21/2008
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 1201 NW NORTH RIDGE DR # D
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City | BLUE SPRINGS
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State | MO
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Zip | 64015-6389
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Country | US
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Telephone | 816-229-6177
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 NW NORTH RIDGE DR # D
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City | BLUE SPRINGS
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State | MO
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Zip | 64015-6389
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Country | US
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Telephone | 816-229-6177
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. DEBORAH ENGELBRECHT
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Credential | MS, PH.D.
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Telephone | 816-229-6177
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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 | 1263
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License Number State | MO
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