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General NPI Number Information
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NPI Number | 1487512133
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Entity Type | Organization
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Legal Business Name | ELEVATED PSYCHOLOGICAL SERVICES PLLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 212 S MAIN ST STE 317
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City | DAVIDSON
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State | NC
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Zip | 28036-8039
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Country | US
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Telephone | 704-491-2969
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Fax |
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Provider Business Mailing Address
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Address Line | 520 DELBURG ST
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City | DAVIDSON
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State | NC
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Zip | 28036-6948
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Country | US
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Telephone | 704-491-2969
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEIRDRE WOODHOUSE
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Credential | PHD
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Telephone | 704-491-2969
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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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