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General NPI Number Information
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NPI Number | 1588199962
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Entity Type | Individual
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Provider Name | KATHERINE FORSLUND PSYD
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Gender | Female
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 1331 ELMWOOD AVE STE 300B
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City | COLUMBIA
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State | SC
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Zip | 29201-2150
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Country | US
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Telephone | 803-250-5109
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Fax |
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Provider Business Mailing Address
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Address Line | 244 WESSINGER FARMS RD
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City | CHAPIN
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State | SC
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Zip | 29036-9488
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Country | US
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Telephone | 530-708-1275
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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 | 1885
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License Number State | SC
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