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General NPI Number Information
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NPI Number | 1417744871
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Entity Type | Organization
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Legal Business Name | GROWING GRIT PSYCHOLOGICAL SERVICES APC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 16769 BERNARDO CENTER DR SUITE 1 # 182
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City | SAN DIEGO
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State | CA
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Zip | 92128
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Country | US
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Telephone | 619-609-7134
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Fax |
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Provider Business Mailing Address
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Address Line | 16769 BERNARDO CENTER DR SUITE 1 # 182
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City | SAN DIEGO
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State | CA
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Zip | 92128
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Country | US
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Telephone | 619-609-7134
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL PSYCHOLOGIST
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Name | DR. TAHNEY CIERRA JOHNSTON
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Credential | PSYD
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Telephone | 619-609-7134
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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 |
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License Number State |
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