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General NPI Number Information
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NPI Number | 1386835692
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Entity Type | Organization
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Legal Business Name | INSIGHT PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/05/2007
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Provider Practice Location Address
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Address Line | 9149 ESTATE THOMAS SUITE 209A MB 8
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City | ST THOMAS
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State | VI
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Zip | 00802-2615
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Country | US
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Telephone | 340-774-2228
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Fax | 340-774-2228
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Provider Business Mailing Address
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Address Line | 9149 ESTATE THOMAS SUITE 209A, MB 8
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City | ST THOMAS
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State | VI
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Zip | 00802-2615
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Country | US
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Telephone | 340-774-2228
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Fax | 340-774-2228
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. LORI THOMPSON
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Credential | PHD
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Telephone | 340-774-2228
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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 | 06-022-PSY
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License Number State | VI
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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 | 03-017-PSY
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License Number State | VI
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