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General NPI Number Information
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NPI Number | 1588579486
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Entity Type | Organization
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Legal Business Name | BEYOND THE MIND PSYCHOLOGICAL SERVICES PLLC
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 1149 PATRIOT DR
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City | COLLEGE STATION
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State | TX
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Zip | 77845-2194
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Country | US
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Telephone | 512-270-0228
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 512-270-0228
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL PSYCHOLOGIST
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Name | SHRUTI SURYA
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Credential | PH.D.
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Telephone | 512-270-0228
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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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