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General NPI Number Information
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NPI Number | 1326805979
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Entity Type | Organization
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Legal Business Name | SOUTHERN CALIFORNIA PSYCHOLOGY GROUP, INC.
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Dates
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Enumeration Date | 02/29/2024
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 27433 TOURNEY RD STE 160
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City | VALENCIA
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State | CA
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Zip | 91355-5613
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Country | US
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Telephone | 661-259-2722
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Fax |
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Provider Business Mailing Address
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Address Line | 25112 SOUTHWIND CT
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City | STEVENSON RANCH
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State | CA
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Zip | 91381-2265
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Country | US
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Telephone | 661-259-2722
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. JEFFREY MORROW
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Credential | PHD
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Telephone | 661-259-2722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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