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General NPI Number Information
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NPI Number | 1427838655
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Entity Type | Organization
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Legal Business Name | THERAPY WHEREVER YOU ARE, A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 955 DEEP VALLEY DR UNIT 3773
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City | PALOS VERDES PENINSULA
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State | CA
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Zip | 90274-3125
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Country | US
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Telephone | 310-845-6335
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3773
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City | PALOS VERDES PENINSULA
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State | CA
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Zip | 90274-9528
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Country | US
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Telephone | 484-515-1743
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Fax |
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Authorized Official
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Title or Position | CORPORATION OWNER
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Name | RAINA MOOSA
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Credential | PSYD
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Telephone | 310-845-6335
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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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