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General NPI Number Information
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NPI Number | 1518345024
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Entity Type | Organization
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Legal Business Name | KATRINA CADY, PSY.D., PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 05/16/2015
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 2775 COTTAGE WAY SUITE 35
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City | SACRAMENTO
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State | CA
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Zip | 95825-1218
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Country | US
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Telephone | 916-422-2036
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Fax |
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Provider Business Mailing Address
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Address Line | 2775 COTTAGE WAY SUITE 35
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City | SACRAMENTO
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State | CA
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Zip | 95825-1218
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Country | US
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Telephone | 916-422-2036
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CLINICAL PSYCHOLOGIST
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Name | DR. KATRINA CADY
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Credential | PSYD
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Telephone | 916-422-2036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 22015
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License Number State | CA
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