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General NPI Number Information
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NPI Number | 1538149547
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Entity Type | Individual
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Provider Name | MARIE DELIZE ORTIZ-EMMANUELLI PSY.D., LPC
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Gender | Female
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 2103 RESEARCH FOREST DR STE 175
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City | THE WOODLANDS
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State | TX
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Zip | 77380-4162
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Country | US
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Telephone | 844-824-8775
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Fax | 281-648-2200
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Provider Business Mailing Address
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Address Line | 2 MAPLE BRANCH ST
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City | THE WOODLANDS
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State | TX
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Zip | 77380-1887
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Country | US
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Telephone | 787-404-7968
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2578
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 89452
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License Number State | TX
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