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NPI 1346014636

NPI 1346014636 : AMY ADAMS HENRY MA, LPA, LSSP : MCKINNEY, TX

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General NPI Number Information
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    NPI Number           |    1346014636
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    Entity Type          |    Individual 
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    Provider Name        |    AMY ADAMS HENRY MA, LPA, LSSP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/08/2023
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    Last Update Date     |    11/08/2023
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Provider Practice Location Address
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    Address Line         |    2150 S CENTRAL EXPY STE 200 
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    City                 |    MCKINNEY
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    State                |    TX
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    Zip                  |    75070-4000
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    Country              |    US
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    Telephone            |    214-550-7757
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    Fax                  |    214-550-7753
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Provider Business Mailing Address
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    Address Line         |    2150 S CENTRAL EXPY STE 200 
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    City                 |    MCKINNEY
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    State                |    TX
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    Zip                  |    75070-4000
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    Country              |    US
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    Telephone            |    214-550-7757
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    6683
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    14196
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    License Number State |    TX
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