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General NPI Number Information
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NPI Number | 1598699282
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Entity Type | Organization
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Legal Business Name | INNER LIGHT PSYCHOLOGICAL INSIGHTS PC
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 1301 N BROADWAY STE 42957
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City | LOS ANGELES
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State | CA
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Zip | 90012-1408
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Country | US
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Telephone | 424-655-3450
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Fax | 424-788-5572
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Provider Business Mailing Address
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Address Line | 1301 N BROADWAY STE 42957
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City | LOS ANGELES
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State | CA
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Zip | 90012-1408
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Country | US
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Telephone | 424-655-3450
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Fax | 424-788-5572
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Authorized Official
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Title or Position | CO-CEO
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Name | EMILY J CAMPBELL
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Credential | PHD
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Telephone | 424-655-3450
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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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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