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General NPI Number Information
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NPI Number | 1356535256
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Entity Type | Individual
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Provider Name | STEPHANIE L. DAVIDSON PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 1500 DUARTE RD
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City | DUARTE
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State | CA
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Zip | 91010-3012
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Country | US
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Telephone | 266-218-8402
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Fax | 805-426-8868
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Provider Business Mailing Address
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Address Line | 5158 CLARETON DR UNIT 481
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City | AGOURA HILLS
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State | CA
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Zip | 91376-7030
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Country | US
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Telephone | 805-405-6945
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY24540
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License Number State | CA
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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 | PSY24540
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License Number State | CA
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