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General NPI Number Information
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NPI Number | 1366733206
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Entity Type | Organization
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Legal Business Name | TORREY PSYCHOLOGICAL SERVICES INC
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 04/26/2011
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Provider Practice Location Address
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Address Line | 990 HIGHLAND DR STE 103
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City | SOLANA BEACH
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State | CA
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Zip | 92075-2408
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Country | US
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Telephone | 619-574-0838
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Fax | 858-278-6722
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Provider Business Mailing Address
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Address Line | 990 HIGHLAND DR STE 103
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City | SOLANA BEACH
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State | CA
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Zip | 92075-2408
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Country | US
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Telephone | 619-574-0838
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Fax | 858-278-6722
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUSAN M. TORREY
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Credential | PHD
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Telephone | 619-574-0838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY14204
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License Number State | CA
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