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General NPI Number Information
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NPI Number | 1356353007
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Entity Type | Organization
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Legal Business Name | SOLUTIONS IN PSYCHOLOGY, INC.
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 09/08/2014
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Provider Practice Location Address
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Address Line | 13670 METROPOLIS AVE SUITE 100
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City | FORT MYERS
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State | FL
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Zip | 33912-4346
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Country | US
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Telephone | 239-910-1534
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Fax |
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Provider Business Mailing Address
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Address Line | 13670 METROPOLIS AVE SUITE 101
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City | FORT MYERS
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State | FL
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Zip | 33912-4346
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Country | US
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Telephone | 239-910-1534
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEFF N MELVIN
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Credential | PH.D.
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Telephone | 239-910-1534
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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 | PY9023
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License Number State | FL
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