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General NPI Number Information
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NPI Number | 1396439873
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Entity Type | Organization
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Legal Business Name | CORNERSTONE PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 761 N THORNTON ST STE E
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City | POST FALLS
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State | ID
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Zip | 83854-6105
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Country | US
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Telephone | 208-981-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 761 N THORNTON ST STE E
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City | POST FALLS
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State | ID
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Zip | 83854-6105
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Country | US
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Telephone | 509-289-2642
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | COURTNEY EDMONSON
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Credential | PSYD
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Telephone | 509-289-2642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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