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General NPI Number Information
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NPI Number | 1386588226
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Entity Type | Organization
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Legal Business Name | MM NEUROPSYCH A PROFESSIONAL PSYCHOLOGY CORPORATION
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 20422 BEACH BLVD STE 230
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-4398
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Country | US
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Telephone | 949-385-0348
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Fax |
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Provider Business Mailing Address
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Address Line | 20422 BEACH BLVD STE 230
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-4398
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Country | US
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Telephone | 949-385-0348
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MEGAN MAGUIRE
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Credential | PSYD
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Telephone | 949-385-0348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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