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General NPI Number Information
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NPI Number | 1346016581
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Entity Type | Organization
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Legal Business Name | EMPOWERING BALANCE, A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 2748 JACQUELINE CT
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City | NAPA
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State | CA
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Zip | 94558-5948
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Country | US
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Telephone | 972-876-9131
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Fax |
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Provider Business Mailing Address
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Address Line | 2748 JACQUELINE CT
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City | NAPA
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State | CA
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Zip | 94558-5948
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Country | US
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Telephone | 972-876-9131
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | DR. LYNELLE LYNN
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Credential | PSY.D
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Telephone | 972-876-9131
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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 |
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License Number State |
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