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General NPI Number Information
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NPI Number | 1508512369
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Entity Type | Organization
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Legal Business Name | AJA PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 03/01/2022
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 2530 J ST STE 310
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City | SACRAMENTO
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State | CA
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Zip | 95816-4849
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Country | US
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Telephone | 916-799-3866
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Fax | 916-583-7309
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Provider Business Mailing Address
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Address Line | 2530 J ST STE 310
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City | SACRAMENTO
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State | CA
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Zip | 95816-4849
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Country | US
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Telephone | 916-799-3866
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Fax | 916-583-7309
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/OWNER
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Name | DR. AMY J. AHLFELD
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Credential | PSYD
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Telephone | 916-799-3866
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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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