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General NPI Number Information
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NPI Number | 1417810383
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Entity Type | Organization
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Legal Business Name | ANCHETA PSYCHOLOGICAL SERVICES PLLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 303 S WATER ST STE 230
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City | HENDERSON
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State | NV
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Zip | 89015-7308
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Country | US
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Telephone | 702-763-7321
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Fax |
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Provider Business Mailing Address
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Address Line | 303 S WATER ST STE 230
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City | HENDERSON
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State | NV
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Zip | 89015-7308
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Country | US
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Telephone | 702-763-7321
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | MARY ANCHETA
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Credential | PSYD
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Telephone | 408-813-8269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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