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General NPI Number Information
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NPI Number | 1356903611
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Entity Type | Individual
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Provider Name | KATIE CHADWICK PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2019
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1412 MAIN ST STE 320
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City | DALLAS
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State | TX
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Zip | 75202-4701
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Country | US
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Telephone | 214-760-1964
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Fax |
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Provider Business Mailing Address
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Address Line | 15935 KNOLL TRAIL DR APT 2201
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City | DALLAS
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State | TX
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Zip | 75248-2780
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Country | US
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Telephone | 432-528-6397
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 38188
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 38188
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License Number State | TX
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