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General NPI Number Information
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NPI Number | 1356020044
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Entity Type | Organization
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Legal Business Name | PSYCHBYTES, LLC
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 12333 SOWDEN RD STE B648510
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City | HOUSTON
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State | TX
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Zip | 77080-2058
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Country | US
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Telephone | 318-225-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 12333 SOWDEN RD STE B648510
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City | HOUSTON
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State | TX
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Zip | 77080-2058
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Country | US
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Telephone | 318-225-2400
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | KAREN ROPER
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Credential | PHD, LP
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Telephone | 318-225-2400
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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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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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