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General NPI Number Information
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NPI Number | 1376343947
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Entity Type | Organization
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Legal Business Name | AIELLO PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 7855 IVANHOE AVE STE 460
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City | LA JOLLA
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State | CA
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Zip | 92037-4510
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Country | US
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Telephone | 858-247-1509
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Fax |
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Provider Business Mailing Address
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Address Line | 6452 CARDENO DR
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City | LA JOLLA
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State | CA
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Zip | 92037-6929
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Country | US
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Telephone | 858-349-5901
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Fax |
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Authorized Official
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Title or Position | OWNER / CEO
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Name | DR. BRIDGET ELIZABETH AIELLO
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Credential | PSYD
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Telephone | 858-349-5901
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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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