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General NPI Number Information
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NPI Number | 1356094775
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL AND ACADEMIC CONSULTING AND EVALUATION LLC
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 4770 INDIANOLA AVE STE 200
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City | COLUMBUS
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State | OH
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Zip | 43214-1862
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Country | US
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Telephone | 614-964-1234
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Fax | 614-924-7161
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Provider Business Mailing Address
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Address Line | 4770 INDIANOLA AVE STE 200
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City | COLUMBUS
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State | OH
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Zip | 43214-1862
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Country | US
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Telephone | 719-433-0772
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Fax | 614-924-7161
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Authorized Official
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Title or Position | OWNER
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Name | MS. HEATHER MARIE GRIFFITH
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Credential | EDS
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Telephone | 614-964-1234
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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 |
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License Number State |
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