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General NPI Number Information
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NPI Number | 1477442515
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Entity Type | Organization
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Legal Business Name | DANIELLE TAILLIEU PSYCHOLOGY, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 15300 VENTURA BLVD STE 408
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-5848
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Country | US
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Telephone | 323-749-9475
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Fax |
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Provider Business Mailing Address
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Address Line | 2934 1/2 N BEVERLY GLEN CIR # 12
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City | LOS ANGELES
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State | CA
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Zip | 90077-1745
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Country | US
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Telephone | 323-749-9475
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. DANIELLE TAILLIEU
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Credential | PSYD
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Telephone | 323-749-9475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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