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General NPI Number Information
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NPI Number | 1346918067
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Entity Type | Individual
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Provider Name | SARAH ANN HENDRICKSON LYN PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 11900 W OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90064-1151
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Country | US
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Telephone | 888-225-1995
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Fax |
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Provider Business Mailing Address
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Address Line | 11900 W OLYMPIC BLVD STE 410
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City | LOS ANGELES
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State | CA
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Zip | 90064-1168
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Country | US
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Telephone | 888-225-1995
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS2606
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License Number State | ME
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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 | PSY10000701
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 35566
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License Number State | CA
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