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General NPI Number Information
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NPI Number | 1508035254
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL ALTERNATIVES, PLLC
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 101 JORDAN DR
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City | CHATTANOOGA
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State | TN
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Zip | 37421-6732
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Country | US
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Telephone | 423-510-1999
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Fax | 423-510-1888
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Provider Business Mailing Address
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Address Line | 101 JORDAN DR
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City | CHATTANOOGA
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State | TN
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Zip | 37421-6732
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Country | US
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Telephone | 423-510-1999
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Fax | 423-510-1888
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Authorized Official
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Title or Position | CEO/OWNER
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Name | LAURA SCHREEDER HUBONA
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Credential | MA, LCSW
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Telephone | 423-316-4438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4272
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License Number State | TN
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