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General NPI Number Information
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NPI Number | 1356164495
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Entity Type | Organization
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Legal Business Name | EMIC PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 11 WILLIAMSBURG LN STE B
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City | CHICO
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State | CA
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Zip | 95926-2225
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Country | US
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Telephone | 530-708-1625
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Fax |
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Provider Business Mailing Address
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Address Line | 1 SCOLES LN
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City | CHICO
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State | CA
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Zip | 95973-9397
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER/FOUNDER
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Name | DR. DEVIN SMITH OLIO
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Credential | PSYD
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Telephone | 530-708-1625
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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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