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General NPI Number Information
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NPI Number | 1477911337
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Entity Type | Organization
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Legal Business Name | ALIGN PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 02/08/2016
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Last Update Date | 02/08/2016
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Provider Practice Location Address
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Address Line | 14785 PRESTON RD SUITE 550
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City | DALLAS
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State | TX
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Zip | 75254-7876
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Country | US
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Telephone | 214-801-7699
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Fax | 214-301-0990
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Provider Business Mailing Address
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Address Line | 14785 PRESTON RD SUITE 550
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City | DALLAS
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State | TX
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Zip | 75254-7876
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Country | US
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Telephone | 214-801-7699
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Fax | 214-301-0990
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Authorized Official
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Title or Position | CHILD PSYCHOLOGIST, OWNER
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Name | DR. STEVIE PUCKETT
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Credential | PH.D., LSSP
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Telephone | 214-801-7699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 36715
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License Number State | TX
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