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General NPI Number Information
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NPI Number | 1447662200
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Entity Type | Organization
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Legal Business Name | STRATTON PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 05/28/2014
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 4310 MEDICAL PKWY SUITE 101
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City | AUSTIN
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State | TX
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Zip | 78756-3335
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Country | US
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Telephone | 512-637-6331
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Fax |
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Provider Business Mailing Address
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Address Line | 4310 MEDICAL PKWY SUITE 101
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City | AUSTIN
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State | TX
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Zip | 78756-3335
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Country | US
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Telephone | 512-637-6331
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATY ADAMS
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Credential | LPC, LMFT-A
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Telephone | 512-637-6331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 67351
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License Number State | TX
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