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General NPI Number Information
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NPI Number | 1306205588
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Entity Type | Organization
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Legal Business Name | MONTEREY PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 945 STOCKTON DR UNIT 3130
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City | ALLEN
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State | TX
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Zip | 75013-6157
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Country | US
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Telephone | 469-291-9009
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Fax | 866-433-3741
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Provider Business Mailing Address
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Address Line | 945 STOCKTON DR UNIT 3130
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City | ALLEN
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State | TX
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Zip | 75013-6157
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Country | US
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Telephone | 469-291-9009
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Fax | 866-433-3741
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. AMANDA GAYLE GLOVER
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Credential | PSYD
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Telephone | 469-519-2782
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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 | 34158
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License Number State | TX
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