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General NPI Number Information
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NPI Number | 1326263484
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Entity Type | Organization
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Legal Business Name | EMPOWER YOU EXPERTS, INC
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 01/11/2019
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Provider Practice Location Address
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Address Line | 8644 EAST WOODLEY WAY
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City | SCOTTSDALE
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State | AZ
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Zip | 85266
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Country | US
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Telephone | 630-217-9335
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Fax |
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Provider Business Mailing Address
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Address Line | 34522 NORTH SCOTTSDALE ROAD SUITE 120-508
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City | SCOTTSDALE
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State | AZ
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Zip | 85266
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Country | US
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Telephone | 630-217-9335
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/PRESIDENT
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Name | DR. LISA ANN LAVELLA
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Credential | PSY.D.
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Telephone | 630-217-9335
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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 | 71007097
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License Number State | IL
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