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General NPI Number Information
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NPI Number | 1396993093
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Entity Type | Organization
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Legal Business Name | DELEA HERBER PHD
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Dates
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Enumeration Date | 09/05/2008
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 7132 STEWART LN
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City | BENBROOK
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State | TX
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Zip | 76126-4611
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Country | US
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Telephone | 817-798-4324
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Fax |
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Provider Business Mailing Address
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Address Line | 7132 STEWART LN
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City | BENBROOK
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State | TX
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Zip | 76126-4611
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Country | US
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Telephone | 817-798-4324
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. KATHRYN DELEA HERBER
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Credential | PH.D.
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Telephone | 817-798-4324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 32212
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 32212
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 33212
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | 32212
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 32212
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License Number State | TX
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