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General NPI Number Information
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NPI Number | 1548796824
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Entity Type | Organization
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Legal Business Name | PSYCHOTHERAPY HEALTH SOLUTIONS INC
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Dates
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Enumeration Date | 05/05/2017
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Last Update Date | 05/05/2017
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Provider Practice Location Address
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Address Line | 9666 BUSINESSPARK AVE SUITE 202
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City | SAN DIEGO
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State | CA
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Zip | 92131-1646
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Country | US
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Telephone | 858-663-7285
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Fax |
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Provider Business Mailing Address
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Address Line | 9666 BUSINESSPARK AVE SUITE 202
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City | SAN DIEGO
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State | CA
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Zip | 92131-1646
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Country | US
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Telephone | 858-663-7285
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | MRS. GRETCHEN ANN POUND
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Credential | PH.D
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Telephone | 858-663-7285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY21504
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License Number State | CA
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