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General NPI Number Information
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NPI Number | 1487883864
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Entity Type | Individual
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Provider Name | JAMIE L MISHLER PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2009
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | BEHAVIORAL HEALTH CONSULTANTS 15434 SAGE ST
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City | VICTORVILLE
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State | CA
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Zip | 92392
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Country | US
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Telephone | 760-843-0506
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Fax | 661-868-6666
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Provider Business Mailing Address
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Address Line | 3403 10TH ST STE 605
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City | RIVERSIDE
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State | CA
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Zip | 92501
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Country | US
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Telephone | 909-201-7786
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Fax | 661-868-6666
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PSY26435
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY26435
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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